Postrenal biopsy AVM leading to severe hypertension and dilated cardiomyopathy

A 3-year-old girl with Alport syndrome presented with decompensated heart failure from hypertension-induced cardiomyopathy 6 months following renal biopsy. Selective renal angiography revealed a large left renal arteriovenous fistula (AVF) with poor perfusion to the left renal parenchyma. The AVF wa...

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Bibliographic Details
Published in:Pediatric nephrology (Berlin, West) West), 2009-12, Vol.24 (12), p.2459-2462
Main Authors: Sasaki, Nao, Joashi, Umesh C., Vergara, Marcela, Saland, Jeffrey M., Love, Barry A.
Format: Article
Language:English
Subjects:
Arteriovenous Fistula - diagnostic imaging
Arteriovenous Fistula - pathology
Arteriovenous Fistula - therapy
Arteriovenous Malformations - diagnostic imaging
Arteriovenous Malformations - pathology
Arteriovenous Malformations - therapy
Biopsy - instrumentation
Brief Report
Cardiomyopathy, Dilated - diagnostic imaging
Cardiomyopathy, Dilated - pathology
Cardiomyopathy, Dilated - therapy
Cardiotonic Agents - therapeutic use
Child, Preschool
Echocardiography
Embolization, Therapeutic - instrumentation
Female
Humans
Hypertension - pathology
Kidney - diagnostic imaging
Kidney - pathology
Kidney - surgery
Kidney Diseases - diagnostic imaging
Kidney Diseases - pathology
Kidney Diseases - therapy
Medicine & Public Health
Milrinone - therapeutic use
Nephrology
Pediatrics
Radiography
Treatment Outcome
Urology
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Summary:A 3-year-old girl with Alport syndrome presented with decompensated heart failure from hypertension-induced cardiomyopathy 6 months following renal biopsy. Selective renal angiography revealed a large left renal arteriovenous fistula (AVF) with poor perfusion to the left renal parenchyma. The AVF was treated by transcatheter embolization using an Amplatzer vascular plug. Her blood pressure normalized after embolization, and her cardiac function normalized over the following 4 months.
ISSN:0931-041X
1432-198X
DOI:10.1007/s00467-009-1268-9