Acute cardiorenal syndrome by high flow arteriovenous fistula after kidney transplantation.

Abstract

PURPOSE:

The aim of this work was to increase recognition of high flow arteriovenous fistulas in kidney transplant patients.

CASE:

Here, we report the case of a 22-year-old man with repeated hospitalizations for cardiomegaly and chronic pericardial effusion after kidney transplantation. Eventually, high flow of his arteriovenous fistula was recognized 5.5 years after transplantation when he developed acute cardiorenal syndrome. Access flow reduction markedly improved kidney graft function along with reversion of cardiomegaly, which was impressively demonstrated by follow-up chest-x-rays.

CONCLUSION:

Arteriovenous fistulas should be monitored regularly after kidney transplantation to avoid congestive heart failure and other serious complications.

• Authors: Peter Nickel, Safak Gül, Gero Puhl, Alexander Poellinger, Ralf Schindler
• Journal: The journal of vascular access (J Vasc Access) 2013 Oct-Dec Vol. 14 Issue 4 Pg. 394-6 ISSN: 1724-6032 [Electronic] United States
• PMID: 23661142 (Publication Type: Case Reports, Journal Article)

Topics

• Acute Disease
• Arteriovenous Shunt, Surgical (adverse effects)
• Blood Flow Velocity
• Brachial Artery (physiopathology, surgery)
• Cardiac Output, High (etiology)
• Cardio-Renal Syndrome (diagnosis, etiology, physiopathology, surgery)
• Cardiomegaly (etiology)
• Chronic Disease
• Heart Failure (etiology)
• Humans
• Kidney Transplantation (adverse effects)
• Male
• Pericardial Effusion (etiology)
• Regional Blood Flow
• Reoperation
• Risk Factors
• Time Factors
• Treatment Outcome
• Young Adult