Traumatic aorto-left renal vein fistula

Most patients with traumatic or spontaneous venous fistula can be managed safely and effectively by conventional operative techniques. Infrequently total circulatory arrests with hypothermia may be used to correct this defect. The ideal treatment is transection of the fistula with preservation of the kidney function. A traumatic aorto-left renal vein fistula was successfully treated with preservation of renal function. Diagnosis was made early by the presence of a bruit and a wide pulse pressure. The diagnosis was confirmed on aortography and oxygen saturation in the left renal vein. The fistula was closed by the conventional operative technique without hypothermia or circulatory arrest.