TY  - BOOK
AU  - Asch, Federico M
AU  - Bernardo, Nelson L
AU  - Brar, Vijaywant
AU  - Campia, Umberto
AU  - Suddath, William O
AU  - Weissman, Gaby
TI  - Reversal of pulmonary hypertension after percutaneous closure of congenital renal arteriovenous fistula in a 74-year old woman
SN  - 1878-0938
PY  - 2015///
KW  - *Arteriovenous Fistula/su [Surgery]
KW  - *Hypertension, Pulmonary
KW  - *Renal Artery/su [Surgery]
KW  - *Renal Veins/su [Surgery]
KW  - Aged
KW  - Arteriovenous Fistula/di [Diagnosis]
KW  - Cardiac Catheterization/mt [Methods]
KW  - Female
KW  - Heart Failure/pp [Physiopathology]
KW  - Heart Ventricles/pp [Physiopathology]
KW  - Heart Ventricles/su [Surgery]
KW  - Humans
KW  - Hypertension, Pulmonary/di [Diagnosis]
KW  - Hypertension, Pulmonary/et [Etiology]
KW  - Hypertension, Pulmonary/pp [Physiopathology]
KW  - Treatment Outcome
KW  - MedStar Heart & Vascular Institute
KW  - Case Reports
KW  - Journal Article
N1  - Available in print through MWHC library: 2002 - present
N2  - We report the case of a large right renal arteriovenous fistula (AVF) in a 74-year old woman who presented with heart failure. Transthoracic echocardiography revealed normal left ventricular size and systolic function (ejection fraction 60-65%), moderately dilated right ventricle with severely depressed systolic function, and severe pulmonary hypertension. Right heart catheterization confirmed the elevated pulmonary pressures and showed a high cardiac output. Physical examination was remarkable for a right flank bruit. An abdominal ultrasound revealed an AVF originating from the distal right renal artery and dilated suprarenal inferior vena cava and hepatic veins. These findings were confirmed with an abdominal MRI. Percutaneous endovascular closure of the right renal AVF was successfully performed, with immediate reduction of pulmonary pressures and normalization of cardiac output. The patient's symptoms improved, and a post intervention echocardiogram revealed normalization of right ventricular size. Copyright © 2015 Elsevier Inc. All rights reserved
UR  - http://dx.doi.org/10.1016/j.carrev.2015.04.013
ER  -