Post-traumatic giant fistula between the aorta and the left renal vein: A case report

Abstract

A unique case of post-traumatic aorto-left renal vein fistula (ALRVF) is presented. Some specific features of diagnosis and treatment of post-traumatic and postaneurysm ALRVF are discussed. The importance of careful planning of the operative strategy is emphasized because substantial blood loss may lead to serious intraoperative complications and frequently necessitates autohemotransfusion. The 10-year follow-up confirmed that direct reconstruction was the appropriate procedure, with no indications that an endovascular procedure would have been preferable. Direct reconstruction may also be valuable in treating postaneurysm ALVRF.

Treatment of Complex, Combined Renal Artery Aneurysm and Renal Arteriovenous Fistula with Nephrectomy

“…Secondary RAVFs occur after an intervention such as a percutaneous renal biopsy or after penetrating flank trauma. 2,13 Idiopathic RAVF is presumed to be an eroding RAA into an adjacent vein. 2,14 Most RAAs are discovered incidentally and may be further evaluated with duplex ultrasound, spiral computerized tomography, contrast enhanced magnetic resonance angiography, or digital subtraction arteriography.…”