Ces radiol. 2008, 62(4):357-360

Therapeutic embolization of high-flow arteriovenous malformation of right kidneyCase report

Radek Pádr¹, Miloslav Roček¹, Michal Rejchrt², Matúš Chocholatý²

¹ Klinika zobrazovacích metod 2. LF UK a FN Motol, Praha

² Urologická klinika 2. LF UK a FN Motol, Praha

Congenital high-flow arteriovenous malformations of renal artery are rare diseases; they are associated with arterial hypertension, stomachache, haematuria, and sporadically also with congestive heart failure. Idiopathic malformations are usually associated with aneurysms of the affected renal artery. A case of therapeutic endovascular embolization of innate high-flow arteriovenous malformation of right kidney of a 49-year-old female patient is presented. AV malformation was supplied by the lower from the two renal arteries, which did not take part in the kidney's function. Also in the origin of this artery from aorta there was an aneurysm, from which the supplying artery to the arteriovenous malformation was originating. The malformation was localized in the lower third of the right kidney. Embolization of the supplying artery and the aneurysm with metal coils lead to complete closure of this malformation and to complete disappearance of the patient's clinical difficulties. In our case we have also proved Ehlers-Danlos syndrome IV vascular type in the patient.

Keywords: aneurysm, arteriovenous malformations, stomachache, Ehlers-Danlos syndrome, embolization

Accepted: October 15, 2008; Published: December 1, 2008  Show citation