Endovascular management of a traumatic renal-caval arteriovenous fistula in a pediatric patient

Ann Vasc Surg. 2014 May;28(4):1031.e1-5. doi: 10.1016/j.avsg.2013.04.028. Epub 2013 Dec 19.


Traumatic renal arteriovenous fistula involving the inferior vena cava (IVC) are exceptionally rare, but if left untreated can have devastating clinical consequences, including development of renovascular hypertension, cardiomegaly, and congestive heart failure. We report a rare, pediatric case of a renal-caval arteriovenous fistula that developed after a gunshot wound to the abdomen and its subsequent treatment with endovascular means. We review our case and the world literature on the evaluation and management of trauma-related renal-caval arteriovenous fistulae.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Abdominal Injuries / diagnosis
  • Abdominal Injuries / therapy*
  • Adolescent
  • Aneurysm, False / diagnosis
  • Aneurysm, False / therapy*
  • Arteriovenous Fistula / diagnosis
  • Arteriovenous Fistula / therapy*
  • Embolization, Therapeutic*
  • Endovascular Procedures*
  • Humans
  • Male
  • Renal Artery / diagnostic imaging
  • Renal Artery / injuries*
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Vascular System Injuries / diagnosis
  • Vascular System Injuries / therapy*
  • Vena Cava, Inferior / diagnostic imaging
  • Vena Cava, Inferior / injuries*
  • Wounds, Gunshot / diagnosis
  • Wounds, Gunshot / therapy*