Abstract
The minimal decrease in cardiac output with occlusion of the fistula and evidence suggested that the arteriovenous fistula was not contributing to the patient’s heart failure. Intriguingly, she did have multiple areas of dilation with tortuosity generating a natural flow reduction. The decision was made to proceed with the mitral valve replacement but leave the AVF in place.
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References
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Singh S, Elramah M, Allana SS, Babcock M, Keevil JG, Johnson MR, Yevzlin AS, Chan MR. A case series of real-time hemodynamic assessment of high output heart failure as a complication of arteriovenous access in dialysis patients. Semin Dial. 2014;27(6):633–8.
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Rosenberg, J.E., Yevzlin, A.S. (2017). Hemodynamic Monitoring of Arteriovenous Fistulagram. In: Yevzlin, A., Asif , A., Redfield III, R., Beathard, G. (eds) Dialysis Access Cases. Springer, Cham. https://doi.org/10.1007/978-3-319-57500-1_14
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DOI: https://doi.org/10.1007/978-3-319-57500-1_14
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