Amitani S, Miyahara K, Miyanohara H, Nakamura K, Arima T, Morishita Y, Taira A
Second Department of Internal Medicine, Faculty of Medicine, Kagoshima University, Japan.
Intern Med. 1992 Jan;31(1):98-101. doi: 10.2169/internalmedicine.31.98.
We report a 57-yr-old woman with severe cardiac failure secondary to postnephrectomy arteriovenous fistula which was successfully removed. A review of the literature shows the rarity of this complication; only 72 cases have been reported in the world literature including 6 cases (including the present case) from Japan. Surgical intervention is generally the treatment of choice from a fistula and provides satisfactory results for cardiac failure which is the major complication of this fistula. A characteristic bruit was observed in all reported cases. Therefore, nonsurgical closure by percutaneous embolization for a small sized shunt may be possible if early diagnosis is obtained by careful auscultation of the loin.
我们报告了一名57岁女性，因肾切除术后动静脉瘘继发严重心力衰竭，该动静脉瘘已成功切除。文献回顾显示这种并发症很罕见；世界文献中仅报道了72例，其中包括来自日本的6例（包括本病例）。手术干预通常是治疗动静脉瘘的首选方法，对于作为该动静脉瘘主要并发症的心力衰竭可提供满意的治疗效果。所有报道的病例中均观察到特征性杂音。因此，如果通过仔细听诊腰部获得早期诊断，对于小型分流可通过经皮栓塞进行非手术封堵。
