Korean Journal of Nephrology 2000;19(1):148-152.
증례 : 혈액투석 환자에서 동정맥루의 과도한 혈류에 의한 고박출성 심부전 1예 (High-Output Cardiac Failure due to Expressive Arteriovenous Fistula Blood Flow in a Hemodialysis Patient)
방병기(Byung Kee Bang),김영옥(Young Ok Kim),윤선애(Sun Ae Yoon),천경아(Kyung Ah Chun),김남일(Nam Il Kim),김현재(Hyeon Jae Kim),전희경(Hui Kyung Jeon)
Abstract
Although excessive arteriovenous fistula blood flow may be a factor in the development of high-output cardiac failure, this diagnosis is easily over-looked. Surgical reduction of fistula blood flow can improve the condition. We here report a case of high-output cardiac failure due to excessive arterio-venous fistula blood flow in a hemodialysis patient. A 51-year-old man who had been treated with hemodialysis since 5 years ago was admitted for increasing cardiac failure. Echocardiographic evaluation of cardiac output and duplex measurement of the fistula confirmed the diagnosis of high-output cardiac failure due to excessive arteriovenous fistula blood flow. After surgical closure of the fistula, the signs and symptoms of cardiac failure subsequently subsided and both systolic and diastolic dimension of left ventricle much decreased.
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