Giant Postnephrectomy Arteriovenous Fistula in a Patient with Tuberous Sclerosis and Anomalous Inferior Vena Cava: Treatment with Amplatzer Vascular Plug Embolization

A case of 61-year-old woman with tuberous sclerosis complex, who developed a fistula between renal artery and renal vein after left-side nephrectomy, was presented. In addition, an abnormal course of inferior vena cava was detected (type 3 Morito). High-flow fistula was causing volume high output heart failure and pulmonary circulation overload with pulmonary hypertension. Because of large size of the fistula, it had to be treated with implantation of Amplatzer II to the renal artery. The procedure was successfully performed using the brachial artery access.