Skip to main content
NCBI home page
Annals of Surgery logoLink to Annals of Surgery
. 1976 Jul;184(1):31–34. doi: 10.1097/00000658-197607000-00005

Aorto-left renal vein fistula: an unusual complication of abdominal aortic aneurysm.

M Suzuki, G M Collins, G T Bassinger, R B Dilley
PMCID: PMC1344301  PMID: 938115

Abstract

A patient with an abdominal aortic aneurysm with a preaortic left renal vein fistula is presented. Review of the 7 reported cases of aorto-left renal vein fistulae demonstrates many similarities in the clinical presentation with aorto-caval fisulae. However, in addition to the triad of pain, pulsatile abdominal mass and bruit, commonly found in aorto-caval fistulae, the presence of hematuria, proteinuria, and azotemia suggests a renal vein fistula. Radiographic studies often demonstrate a large non-functional left kidney. Operative management of the fistula may be performed by a variety of maneuvers. All 7 patients survived. When repair was undertaken without delay, function in the left kidney returned to normal within two months postoperatively.

Full text

PDF
31

Images in this article

32Fig. 1.
on p.32
32Fig. 3.
on p.32

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Baker W. H., Sharzer L. A., Ehrenhaft J. L. Aortocaval fistula as a complication of abdominal aortic aneurysms. Surgery. 1972 Dec;72(6):933–938. [PubMed] [Google Scholar]
  2. Brener B. J., Darling R. C., Frederick P. L., Linton R. R. Major venous anomalies complicating abdominal aortic surgery. Arch Surg. 1974 Feb;108(2):159–165. doi: 10.1001/archsurg.1974.01350260019004. [DOI] [PubMed] [Google Scholar]
  3. CULP O., BERNATZ P. E. Urologic aspects of lesions in the abdominal aorta. J Urol. 1961 Aug;86:189–195. doi: 10.1016/S0022-5347(17)65137-1. [DOI] [PubMed] [Google Scholar]
  4. DEBAKEY M. E., COOLEY D. A., MORRIS G. C., Jr, COLLINS H. Arteriovenous fistula involving the abdominal aorta: report of four cases with successful repair. Ann Surg. 1958 May;147(5):646–658. doi: 10.1097/00000658-195805000-00008. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Gore I., Hirst A. E., Jr Arteriosclerotic aneurysms of the abdominal aorta: a review. Prog Cardiovasc Dis. 1973 Sep-Oct;16(2):113–150. doi: 10.1016/s0033-0620(73)80011-8. [DOI] [PubMed] [Google Scholar]
  6. Grahame J. W., Downs A. R. Ruptured abdominal aortic aneurysm presenting with gross hematuria. J Urol. 1971 Nov;106(5):628–630. doi: 10.1016/s0022-5347(17)61358-2. [DOI] [PubMed] [Google Scholar]
  7. HUFNAGEL C. A., CONRAD P. Abdominal arteriovenous fistulas. Surg Gynecol Obstet. 1962 Apr;114:470–474. [PubMed] [Google Scholar]
  8. Horan D. P., Sharp J. H. Spontaneous fistula between the aorta and left renal vein. Am J Surg. 1967 Jun;113(6):802–806. doi: 10.1016/0002-9610(67)90350-9. [DOI] [PubMed] [Google Scholar]
  9. LORD J. W., Jr, VIGORITA J., FLORIO J. FISTULA BETWEEN ABDOMINAL AORTIC ANEURYSM AND ANOMALOUS RENAL VEIN. JAMA. 1964 Feb 15;187:535–536. doi: 10.1001/jama.1964.03060200067020. [DOI] [PubMed] [Google Scholar]
  10. Lehman E. P. SPONTANEOUS ARTERIOVENOUS FISTULA BETWEEN THE ABDOMINAL AORTA AND THE INFERIOR VENA CAVA: CASE REPORT PRESENTED IN DISCUSSION OF THE PAPER BY DOCTORS REID AND MCGUIRE ON ARTERIOVENOUS ANEURYSMS. Ann Surg. 1938 Oct;108(4):694–700. doi: 10.1097/00000658-193810000-00013. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Mohr L. L., Smith L. L. Arteriovenous fistaul from rupture of abdominal aortic aneurysm. Arch Surg. 1975 Jul;110(7):806–812. doi: 10.1001/archsurg.1975.01360130038008. [DOI] [PubMed] [Google Scholar]
  12. Reckless J. P., McColl I., Taylor G. W. Aorto-caval fistulae: an uncommon complication of abdominal aortic aneurysms. Br J Surg. 1972 Jun;59(6):461–462. doi: 10.1002/bjs.1800590614. [DOI] [PubMed] [Google Scholar]
  13. Scetbon V., Helenon C., Helenon P. Anévrysme de l'aorte abdominale fistulisé dans la veine rénale gauche. Diagnostic pré-opératoire--Guérison chirurgicale. Nouv Presse Med. 1973 Sep 15;2(32):2101–2103. [PubMed] [Google Scholar]
  14. Williams R. D., Fisher F. W., Dickey J. W., Jr Problems in the diagnosis and treatment of abdominal aortic aneurysms. Am J Surg. 1972 Jun;123(6):698–701. doi: 10.1016/0002-9610(72)90357-1. [DOI] [PubMed] [Google Scholar]
  15. Yashar J. J., Hallman G. L., Cooley D. A. Fistula between aneurysm of aorta and left renal vein. Report of a case. Arch Surg. 1969 Oct;99(4):546–548. doi: 10.1001/archsurg.1969.01340160126030. [DOI] [PubMed] [Google Scholar]

Articles from Annals of Surgery are provided here courtesy of Lippincott, Williams, and Wilkins

RESOURCES