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NDT Plus Advance Access published online on January 16, 2009
NDT Plus, doi:10.1093/ndtplus/sfn211
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© The Author [2009]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

High-output cardiac failure secondary to a large arteriovenous fistula: a persistent threat to the dialysis and kidney transplant patient

Mohamad Khreiss1, Fady F. Haddad1, Khaled M. Musallam1, Walid Medawar2, Majida Daouk2 and Ismail Khalil1

1 Division of Vascular Surgery, Department of Surgery
2 Division of Nephrology, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon

Correspondence: Fady F. Haddad, Division of Vascular Surgery, Department of Surgery, American University of Beirut Medical Center, PO Box 11-0236, Riad El-Solh 1107 2020, Beirut, Lebanon. Tel: +961-1-350000, Ext. 5272; Fax: +961-1-363291; E-mail: fady.haddad{at}aub.edu.lb


  Abstract

High-output cardiac failure secondary to a surgically constructed arteriovenous fistula (AVF) is a rare entity that is usually under-diagnosed in the dialysis population. We herein present a case of a 35-year-old female who was diagnosed with high-output cardiac failure secondary to an AVF and later managed with surgical division of the fistula. Risk factors associated with this entity are discussed, and preventive screening strategies are recommended.

Key Words: complication • fistula • haemodialysis • heart failure

Received for publication November 16, 2008. Accepted for publication December 23, 2008.


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