Renal Artery to IVC Arteriovenous Fistula on Angiography 44 yr male, DOE, bounding pulse, BP 150/68, mid syst murmur, Echo done twice- normal. LVDD was 60, IVC distended, CI calculated 4.6 L. He had past laparotomy for stab injury. High output HF due to IVC renal artery fistula! I saw the laparotomy scar and asked him about it, he reluctantly told the history of stab, then I examined abdomen and heard the loud continuous bruit/hum. Ultrasound showed renal artery pseudo aneurysm communicating with IVC. Angio and CT showed complex anatomy. Surgery done. Dr. Gopalan Rajesh @DrRajeshG1 #Renal #Artery #IVC #AVF #Arteriovenous #Fistula #Angiogram #venogram #clinical #cathlab #vascular #radiology #fluoroscopy
