Abstract
A 43-year-old man presenting with symptoms of congestive heart failure, cardiomegaly, and impaired left ventricular (LV) function was diagnosed as having a huge left renal arteriovenous (AV) fistula. The AV fistula might be attributed to a gunshot wound suffered during his military service twenty years ago. Percutaneous transcatheter arterial embolization utilizing multiple spring coils in conjunction with cyanoacrylic glue successfully occluded the fistula, with subsequent improvement of LV function and reduction of LV size on his serial echocardiographic follow-up.
MeSH terms
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Adult
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Arteriovenous Fistula / diagnostic imaging
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Arteriovenous Fistula / etiology*
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Arteriovenous Fistula / therapy
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Cardiomegaly / etiology
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Cardiomegaly / therapy
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Cyanoacrylates / therapeutic use
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Echocardiography
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Embolization, Therapeutic / instrumentation
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Embolization, Therapeutic / methods
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Follow-Up Studies
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Heart Failure / etiology
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Heart Failure / therapy
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Humans
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Kidney / injuries*
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Male
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Nephrectomy / adverse effects
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Renal Artery / injuries*
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Vena Cava, Inferior / injuries*
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Ventricular Dysfunction, Left / etiology
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Ventricular Dysfunction, Left / therapy
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Ventricular Function, Left
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Wounds, Gunshot / complications*
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Wounds, Gunshot / surgery