Congestive Heart Failure Caused by Aortocaval Fistula after Nephrectomy

Mitsunori OKAMOTO; Masaki HASHIMOTO; Takako AKITA; Takashi SUEDA; Shinji KARAKAWA; Yoshihiko OHISHI; Nobuharu HAMANAKA

doi:10.2169/internalmedicine.40.1113

Mitsunori OKAMOTO, Masaki HASHIMOTO, Takako AKITA, Takashi SUEDA, Shinji KARAKAWA, Yoshihiko OHISHI, Nobuharu HAMANAKA

Author information

Keywords: renal tuberculosis, computerized tomography

JOURNAL FREE ACCESS

2001 Volume 40 Issue 11 Pages 1113-1116

DOI https://doi.org/10.2169/internalmedicine.40.1113

Details

Abstract

We treated a 66-year-old man and a 69-year-old woman with high output cardiac failure due to aortocaval fistula. They underwent nephrectomy 40 and 36 years ago, respectively. They suffered from heart failure for a very long time. However, the etiology was not elucidated until recently. The aortogram revealed massive shunt from the aorta to the inferior vena cava via the right renal artery. Three-dimensional computerized tomography clearly delineated the aortocaval fistula. Surgical closure of the fistula promptly improved heart failure. We stress the importance of history taking concerning nephrectomy and the importance of abdominal auscultation in high output cardiac failure.
(Internal Medicine 40:1113-1116, 2001)

Corresponding author

Register with J-STAGE for free!