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Abstract A case of hypertension caused by an arteriovenous (AV) aneurysm of the main renal vessels has been described. The AV connection was obliterated by an approach through the venous aneurysmal side of the fistula with successful preservation of renal function and return of the patient to a normotensive state. The factors considered important in the treatment of this correlation are discussed. References 1. Love L, Moncada R, Lescher AJ: Renal arteriovenous fistula . Amer J Roentgen 95:364-371, 1965.Crossref 2. Maldonado JE, Sheps SG, Bernatz PE, et al: Renal arteriovenous fistula: A reversible cause of hypertension and heart failure . Amer J Med 37:499-513, 1964.Crossref 3. Sharif KY, Thalblum H, Murdock A, et al: Hypertensive cardiovascular disease caused by giant arteriovenous fistula of the kidney . Angiology 18:470-475, 1967.Crossref 4. Smith GH, Remmers AR, Dickey BM, et al: Intrarenal arteriovenous fistula and systemic hypertension following percutaneous renal biopsy . Nephron 5:24-30, 1968.Crossref 5. Waterhouse K, Wesolowski SA, McGowen AJ, et al: Intrarenal arteriovenous fistula: Surgical treatment with salvage of the kidney . J Urol 92:256-260, 1964. 6. Bennett AR, Wiener SN: Intrarenal arteriovenous fistula and aneurysm . American J Roentgen 95:372-382, 1965.Crossref 7. Curran RE, Steinberg I, Hagstrom JWC: Arteriovenous fistula complicating percutaneous renal biopsy in polyarthritis nodosa . Amer J Med 43:465-470, 1967.Crossref 8. Fadhli HA, Derrick JR: Arteriovenous fistula: A complication of needle renal biopsy . Amer Surg 30:654-655, 1964. 9. Kaufman JJ, Gordon A, Maxwell MH: Intrarenal arteriovenous fistula following needle biopsy of the kidney . Calif Med 103:350-354, 1965. 10. Nilsson CG, Ross RJ: Bilateral renal arteriovenous fistulas and decreased blood pressure following renal biopsies . J Urol 97:176-179, 1967. 11. Riley JM: Renal arteriovenous fistula: A complication of percutaneous renal biopsy . J Urol 93:333-335, 1965. 12. Maldonado JE, Sheps SG: Renal arteriovenous fistula . Postgrad Med 40:263-269, 1966. 13. Papadopoulos C, Manoli A: Renal arteriovenous fistulas: Review of the literature and report of a successfully treated case . Surgery 62:285-289, 1967. 14. Poutasse EF: Renal artery aneurysm: Report of 12 cases, two treated by excision of the aneurysm and repair of the renal artery . J Urol 77:697-708, 1957.
Archives of Surgery – American Medical Association
Published: Sep 1, 1970
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