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Am J Kidney Dis. 2002 Sep;40(3):E8.

Reversal of pulmonary hypertension after ligation of a brachiocephalic arteriovenous fistula.

Author information

1
Renal Division, Department of Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA. mrclarkson@partners.org

Abstract

The arteriovenous (AV) fistula is the access method of choice for long-term hemodialysis according to DOQI guidelines. Among the recognized complications of upper extremity AV fistulae fashioned for hemodialysis are infection, aneurysm formation, and high-output left ventricular failure. We describe a novel cardiopulmonary complication--secondary pulmonary hypertension resulting from an aneurysmal brachiocephalic AV fistula. The clinical presentation, investigation, management, and pathophysiology of this complication are discussed.

PMID:
12200825
DOI:
10.1053/ajkd.2002.34932
[Indexed for MEDLINE]

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