Arteriovenous fistula and high output cardiac failure in a double lung transplant patient.
Acute Kidney Injury
/ etiology
Adult
Angiography
Arteriovenous Fistula
/ complications
Balloon Occlusion
/ methods
Cardiac Output
/ physiology
Echocardiography
Female
Heart Failure
/ diagnostic imaging
Humans
Hypertension, Pulmonary
/ complications
Iliac Artery
/ diagnostic imaging
Lung Transplantation
/ adverse effects
Renal Dialysis
Stents
Treatment Outcome
anaesthesia
cardiovascular medicine
interventional radiology
pulmonary hypertension
transplantation
Journal
BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291
Informations de publication
Date de publication:
28 Aug 2019
28 Aug 2019
Historique:
entrez:
31
8
2019
pubmed:
31
8
2019
medline:
19
2
2020
Statut:
epublish
Résumé
We present a case of a high cardiac output (CO) arteriovenous fistula (AVF) with pulmonary hypertension (PH) post-double lung transplant presenting for AVF occlusion. The patient presented with a CO of 9.83 L/min, pulmonary artery pressures of 64/16, inferior vena cava dilatation and an AVF between the left common iliac artery and vein. Given her anaesthetic considerations, we elected to proceed with local anaesthesia and sedation. Trial balloon occlusion resulted in an increase in blood pressure and a headache that resolved with balloon deflation. Successful final occlusion with an endovascular stent was completed without adverse events. PH is a complex pathophysiology with the potential for catastrophic decompensation. Anaesthesiologists must consider a patient's comorbidities and the procedure to safely administer anaesthesia without complications.
Identifiants
pubmed: 31466976
pii: 12/8/e229776
doi: 10.1136/bcr-2019-229776
pmc: PMC6721085
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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