Abstract
In a significant number of cases, renal arteriovenous fistula with ipsilateral functioning kidney results in a characteristic syndrome that includes the association of high-output cardiac failure, diastolic hypertension, and the presence of a continuous bruit within the abdomen. Proper diagnosis of a renovascular fistula might lead to correction of hypertension and of congestive heart failure and perhaps to early removal of a malignant tumor. Treatment of the fistula is surgical in most instances.