Bilateral congenital renal arteriovenous fistulas

M. E. Ullian, Bruce Molitoris

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Bilateral renal arteriovenous (AV) fistulas were discovered in a patient with refractory hypertension. The lesion in the right kidney appeared to be congenital, whereas the etiology of the left-sided lesion could not be determined. Ablation of both fistulas effected a significant decrease in blood pressure. The angiographic appearance of a renal AV fistula often reveals its cause. These fistulas can cause significant morbidity. A review of 49 cases of congenital renal AV fistulas reveals that most are found in women and in the right kidney. Bilateral renal AV fistulas have not been previously described. Hypertension commonly develops in patients with renal AV fistulas and may resolve or improve upon fistula ablation. Improvement in blood pressure after fistula ablation occurs more frequently in traumatic fistulas than in congenital ones. Although the pathophysiology of hypertension is felt to be the shunting of the blood flow by the fistula from the renal parenchyma and subsequent stimulation of the renin system, renal vein renin sampling may be of little diagnostic value.

Original languageEnglish
Pages (from-to)293-297
Number of pages5
JournalClinical Nephrology
Volume27
Issue number6
StatePublished - 1987
Externally publishedYes

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Arteriovenous Fistula
Fistula
Kidney
Hypertension
Renin
Blood Pressure
Women's Rights
Renal Veins
Renal Circulation
Morbidity

ASJC Scopus subject areas

  • Nephrology

Cite this

Bilateral congenital renal arteriovenous fistulas. / Ullian, M. E.; Molitoris, Bruce.

In: Clinical Nephrology, Vol. 27, No. 6, 1987, p. 293-297.

Research output: Contribution to journalArticle

Ullian, M. E. ; Molitoris, Bruce. / Bilateral congenital renal arteriovenous fistulas. In: Clinical Nephrology. 1987 ; Vol. 27, No. 6. pp. 293-297.
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