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Angiology
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Late Development of Renal Arteriovenous Fistula Following Gunshot Trauma

A Case Report

Kuang-Te Wang, MD

Division of Cardiology, Department of Internal Medicine, MacKay Memorial Hospital, Taipei, Taiwan.

Charles Jia-Yin Hou, MD

Division of Cardiology, Department of Internal Medicine, MacKay Memorial Hospital, Taipei, Taiwan.

Jen-Jer Hsieh, MD

Division of Cardiology, Department of Internal Medicine, MacKay Memorial Hospital, Taipei, Taiwan.

Yu-San Chou, MD

Division of Cardiology, Department of Internal Medicine, MacKay Memorial Hospital, Taipei, Taiwan.

Cheng-Ho Tsai, MD

Division of Cardiology, Department of Internal Medicine, MacKay Memorial Hospital, Taipei, Taiwan.

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 success fully occluded the fistula, with subsequent improvement of LV function and reduction of LV size on his serial echocardiographic follow-up.

Angiology, Vol. 49, No. 5, 415-418 (1998)
DOI: 10.1177/000331979804900512
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