Clinical Evaluation of 6 Arteriovenous Fistulae Secondary to Renal Cell Carcinoma

Onishi, Tetsuro; Masuda, Fujio; Sasaki, Tadamasa; Arai, Yoshikazu; Shoji, Ryo; Zuisho, C; Nakada, J; Shimada, Takahiro; Machida, Toyohei

doi:10.5980/jpnjurol1928.73.3_316

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2021

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“…Other underlying tumor types, such as unclassified malignant mesenchymoma ( 5 ), small medullary carcinoma of the thyroid ( 10 ), hepatocellular carcinoma ( 20 ), leiomyoma ( 23 ), malignant fibrous histiocytoma ( 26 ), and possible alveolar soft part sarcoma ( 27 ) and leiomyosarcoma ( 30 ), have also been reported. Arteriovenous fistulas associated with tumors might not be uncommon; the incidence of the involvement of arteriovenous fistula in renal cell carcinoma is reported to be 12-50% ( 34 , 35 ). However, it seems quite rare for congestive heart failure to develop because of this.…”

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confidence: 99%

High-output Heart Failure Caused by a Tumor-related Arteriovenous Fistula: A Case Report and Literature Review

et al. 2021

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High-output heart failure caused by a tumor-related arteriovenous fistula in adults is a rare clinical condition. We herein report a case of high-output heart failure caused by an arteriovenous fistula associated with renal cell carcinoma and a literature review of 29 published cases to date. Renal cell carcinoma seems to be the most common underlying tumor. For the diagnosis, right heart catheterization and enhanced computed tomography are considered useful. The removal of the underlying tumor and arteriovenous fistula is the best treatment for heart failure.

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