Abstract
Abstract A patient with a calcified arteriovenous fistula of the left kidney was correctly diagnosed by selective renal arteriography. At surgery it was possible to identify the single vessel supplying the arteriovenous fistula and to ligate it with correction of the vascular abnormality. The end-artery characteristics of the renal arterial distribution make this surgical approach feasible and, in addition, permits the salvage of the involved kidney. Although renal arteriovenous fistula is not a common condition, with the increasing number of people having needle biopsies of the kidney as well as experiencing major abdominal injuries, its existence should be kept in mind whenever such patients develop abdominal pain, bruit, cardiomegaly, congestive heart failure, and diastolic hypertension. Early surgery is indicated, with the primary aim being the eradication of the vascular abnormality and salvage of the kidney if at all possible.
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