Endovascular management of a traumatic renal-caval arteriovenous fistula in a pediatric patient.
作者信息
Kuy Sreyram, Rossi Peter J, Seabrook Gary R, Brown Kellie R, Lewis Brian D, Rilling William S, Martin Gregory, Patel Bhavin, Dua Anahita, McMaster Jason, Desai Sapan, Lee Cheong J
机构信息
Division of Vascular Surgery, Medical College of Wisconsin, Milwaukee, WI.
Division of Interventional Radiology, Medical College of Wisconsin, Milwaukee, WI.
出版信息
Ann Vasc Surg. 2014 May;28(4):1031.e1-5. doi: 10.1016/j.avsg.2013.04.028. Epub 2013 Dec 19.
Traumatic renal arteriovenous fistula involving the inferior vena cava (IVC) are exceptionally rare, but if left untreated can have devastating clinical consequences, including development of renovascular hypertension, cardiomegaly, and congestive heart failure. We report a rare, pediatric case of a renal-caval arteriovenous fistula that developed after a gunshot wound to the abdomen and its subsequent treatment with endovascular means. We review our case and the world literature on the evaluation and management of trauma-related renal-caval arteriovenous fistulae.
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