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February 1965

Congenital Arteriovenous Fistulae of Kidney: A Case Report and Review of the Literature

Author Affiliations


From the Medical Service, Mount Sinai Hospital.

Arch Intern Med. 1965;115(2):208-213. doi:10.1001/archinte.1965.03860140088020

CONGENITAL arteriovenous fistulae of the kidney is a rare condition, and it may be associated with a complex clinical picture including hypertension, congestive heart failure, bruits, and hematuria. It is felt, therefore, that our experience with this entity should be recorded. The radiologic features of this case have been reported by Feinberg and Goldberg in Radiology.47

Report of Case  A 43-year-old white married woman was admitted to the hospital on Nov 25, 1962, because of extreme shortness of breath, orthopnea, and cough.The patient had hypertension for approximately ten years. Prior to 1953 and including the time of pregnancies in 1942 and 1945 the patient had normal blood pressure. In 1953 she was examined elsewhere and the blood pressure was found to range from 150/90 to 220/120. An intravenous pyelogram showed an abnormality in the lower calyces of the right kidney which was interpreted as cicatricial changes around the