EJVES Extra
Volume 17, Issue 3 , Pages 24-26, March 2009

Giant Renal Vein Aneurysm and Arteriovenous Fistula Secondary to Renal Artery Aneurysm

  • L. Izquierdo

      Affiliations

    • Angiology, Vascular and Endovascular Surgery Service, Instituto Vascular Internacional, Hospital Universitario Madrid Montepríncipe Hospital Madrid Torrelodones, Madrid, Spain
    • Corresponding Author InformationCorresponding author. L. Izquierdo, Angiology, Vascular and Endovascular Surgery Service, Instituto Vascular Internacional, Hospital Universitario Madrid Montepríncipe Hospital Madrid Torrelodones C/Jorge Juan, 82 bajo 1° 28009, Madrid, Spain. Tel.: +34 915751411; fax: +34 917814095.
  • ,
  • E. Criado

      Affiliations

    • Department of Surgery, University of Michigan School of Medicine, Ann Arbor, Michigan, USA
  • ,
  • L. Leiva

      Affiliations

    • Angiology, Vascular and Endovascular Surgery Service, Instituto Vascular Internacional, Hospital Universitario Madrid Montepríncipe Hospital Madrid Torrelodones, Madrid, Spain
  • ,
  • E. Vázquez

      Affiliations

    • Angiology, Vascular and Endovascular Surgery Service, Instituto Vascular Internacional, Hospital Universitario Madrid Montepríncipe Hospital Madrid Torrelodones, Madrid, Spain
  • ,
  • I.F. Solares

      Affiliations

    • Angiology, Vascular and Endovascular Surgery Service, Instituto Vascular Internacional, Hospital Universitario Madrid Montepríncipe Hospital Madrid Torrelodones, Madrid, Spain
  • ,
  • R.V. Zotta

      Affiliations

    • Angiology, Vascular and Endovascular Surgery Service, Instituto Vascular Internacional, Hospital Universitario Madrid Montepríncipe Hospital Madrid Torrelodones, Madrid, Spain

Received 17 September 2008; accepted 11 November 2008. published online 29 December 2008.

Abstract 

We report the case of a 26-year-old male who presented with an asymptomatic right-sided renal mass found during an ultrasound examination. Computed tomography (CT) and angiography confirmed the diagnosis of a venous aneurysm with a renal arteriovenous fistula (RAVF) arising from a renal artery aneurysm (RAA). The aneurysms were surgically resected and the RAVF was obliterated.

Development of a spontaneous RAVF and a renal vein aneurysm arising from a RAA is rare. Hypertension is the most common presenting symptom. Surgical repair remains the most appropriate treatment for RAAs. In some cases, such as in saccular aneurysms or fistulas arising from small branches of the renal artery, embolisation can be used.

Keywords: Arteriovenous fistulae, Renal artery aneurysm, Renal vein aneurysm, Visceral aneurysm

 

PII: S1533-3167(08)00032-0

doi:10.1016/j.ejvsextra.2008.11.005

Refers to article:

  • Giant Renal Vein Aneurysm and Arteriovenous Fistula Secondary to Renal Artery Aneurysm , 29 December 2008

    L. Izquierdo, E. Criado, L. Leiva, E. Vázquez, I.F. Solares, R.V. Zotta
    European Journal of Vascular & Endovascular Surgery March 2009 (Vol. 37, Issue 3, Page 369)

EJVES Extra
Volume 17, Issue 3 , Pages 24-26, March 2009