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< Vol. 14 Issue 4 | Oct-Dec 2013 | pp. 307 - 402

Acute cardiorenal syndrome by high flow arteriovenous fistula after kidney transplantation

Acute cardiorenal syndrome by high flow arteriovenous fistula after kidney transplantation

J Vasc Access 2013; 14(4): 394 - 396

Article Type: CLINICAL CASE

DOI:10.5301/jva.5000154

Authors

Peter Nickel, Safak Gül, Gero Puhl, Alexander Poellinger, Ralf Schindler

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.

Article History

  • • Accepted on 16/03/2013
  • • Available online on 08/05/2013
  • • Published in print on 05/12/2013

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Authors

  • Nickel, Peter [PubMed] [Google Scholar]
    Department of Nephrology and Intensive Care, Campus Virchow, Charité - Universitätsmedizin, Berlin - Germany
  • Gül, Safak [PubMed] [Google Scholar]
    Department of General, Visceral and Transplantation Surgery, Campus Virchow, Charité - Universitätsmedizin, Berlin - Germany
  • Puhl, Gero [PubMed] [Google Scholar]
    Department of General, Visceral and Transplantation Surgery, Campus Virchow, Charité - Universitätsmedizin, Berlin - Germany
  • Poellinger, Alexander [PubMed] [Google Scholar]
    Department of Radiology, Campus Virchow, Charité - Universitätsmedizin, Berlin - Germany
  • Schindler, Ralf [PubMed] [Google Scholar]
    Department of Nephrology and Intensive Care, Campus Virchow, Charité - Universitätsmedizin, Berlin - Germany

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