Aneurysm of the right renal vein arising from an idiopathic arteriovenous fistula

José Fernando Val-Bernal; Clara I Caballero; Pedro Lastra; Ainara Azueta; José L Gutierrez-Baños

doi:10.1016/j.carpath.2014.04.004

Aneurysm of the right renal vein arising from an idiopathic arteriovenous fistula

Cardiovasc Pathol. 2014 Sep-Oct;23(5):310-2. doi: 10.1016/j.carpath.2014.04.004. Epub 2014 Apr 18.

Authors

José Fernando Val-Bernal¹, Clara I Caballero², Pedro Lastra³, Ainara Azueta², José L Gutierrez-Baños⁴

Affiliations

¹ Department of Anatomical Pathology, Marqués de Valdecilla University Hospital, Medical Faculty, University of Cantabria and IDIVAL, Santander, Spain. Electronic address: apavbj@humv.es.
² Department of Anatomical Pathology, Marqués de Valdecilla University Hospital, Medical Faculty, University of Cantabria and IDIVAL, Santander, Spain.
³ Diagnostic Radiology Service, Marqués de Valdecilla University Hospital, Santander Spain.
⁴ Service of Urology, Marqués de Valdecilla University Hospital, Medical Faculty, University of Cantabria and IDIVAL, Santander, Spain.

PMID: 24849549
DOI: 10.1016/j.carpath.2014.04.004

Abstract

A renal vein aneurysm is rarely secondary to an arteriovenous fistula. A symptomatic 4.7-cm aneurysm of the right renal vein arising from an idiopathic arteriovenous fistula in a 41-year-old woman is described. Imaging techniques have a critical role in planning the treatment. The 4.7-cm aneurysm showed a venous wall with uneven thickening of the intima, irregular atrophy and architectural disarray of the media, and partial loss of elastic fibers. Potential for rupture supports surgical intervention in a selected patient with a macroaneurysm.

Keywords: Renal aneurysm; Renal arteriovenous fistula; Renal vein; Venous aneurysm.

Publication types

Case Reports

MeSH terms

Adult
Aneurysm / etiology*
Arteriovenous Fistula / complications*
Arteriovenous Fistula / pathology
Female
Humans
Renal Artery / abnormalities*
Renal Veins / abnormalities*
Renal Veins / pathology*