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High-Output Cardiac Failure and Coronary Steal With an Arteriovenous Fistula

Aala, Amtul ; Sharif, Sairah ; Parikh, Leslie ; Gordon, Paul C. ; Hu, Susie L.

American journal of kidney diseases, 2018-06, Vol.71 (6), p.896-903 [Periódico revisado por pares]

United States: Elsevier Inc

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Título:
High-Output Cardiac Failure and Coronary Steal With an Arteriovenous Fistula
Autor: Aala, Amtul ; Sharif, Sairah ; Parikh, Leslie ; Gordon, Paul C. ; Hu, Susie L.
Assuntos: Aged ; aortic stenosis ; Arteriovenous fistula (AVF) ; cardiac failure ; Cardiac Output - physiology ; cardiovascular disease ; Coronary Artery Bypass - methods ; coronary artery bypass graft (CABG) ; Coronary Artery Disease - complications ; Coronary Artery Disease - diagnostic imaging ; Coronary Artery Disease - surgery ; Coronary Restenosis - diagnosis ; Coronary Restenosis - etiology ; coronary steal ; Diabetic Nephropathies - complications ; Diabetic Nephropathies - diagnosis ; Disease Progression ; end-stage renal disease (ESRD) ; Follow-Up Studies ; Heart Failure - diagnosis ; Heart Failure - etiology ; Heart Failure - therapy ; hemodialysis access ; hemodynamics ; high-output cardiac failure ; Humans ; Kidney Failure, Chronic - diagnosis ; Kidney Failure, Chronic - therapy ; left internal mammary artery ; left ventricular systolic dysfunction ; Male ; Mammary Arteries - transplantation ; Renal Dialysis - adverse effects ; Renal Dialysis - methods ; Reoperation ; Risk Assessment ; Treatment Outcome ; Vascular Access Devices - adverse effects
É parte de: American journal of kidney diseases, 2018-06, Vol.71 (6), p.896-903
Notas: ObjectType-Case Study-3
SourceType-Scholarly Journals-1
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ObjectType-Review-1
ObjectType-Feature-5
ObjectType-Report-2
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Descrição: Creation of an arteriovenous access for hemodialysis can provoke a sequence of events that significantly affects cardiovascular hemodynamics. We present a 78-year-old man with end-stage renal disease and concomitant coronary artery disease previously requiring coronary artery bypass grafting including a left internal mammary graft to the left anterior descending artery, ischemic cardiomyopathy with left ventricular systolic dysfunction, and severe aortic stenosis who developed hypotension unresponsive to medical therapy after recent angioplasty of his ipsilateral arteriovenous fistula for high-grade outflow stenosis. This case highlights the long-term effects of dialysis access on the cardiovascular system, with special emphasis on complications such as high-output cardiac failure and coronary artery steal syndrome. Banding of the arteriovenous fistula provided symptomatic relief with a decrease in cardiac output. Avoidance of arteriovenous access creation on the ipsilateral upper extremity in patients with a left internal mammary artery bypass graft may prevent coronary artery steal syndrome.
Editor: United States: Elsevier Inc
Idioma: Inglês

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High-Output Cardiac Failure and Coronary Steal With an Arteriovenous Fistula

Aala, Amtul ; Sharif, Sairah ; Parikh, Leslie ; Gordon, Paul C. ; Hu, Susie L.

United States: Elsevier Inc

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