Reversible pulmonary hypertension in a kidney transplant with patent A-V fistula

Pulmonary hypertension (PH) occurs in end-stage renal disease (ESRD) patients on long-term haemodialysis (HD) using an arterio-venous (A-V) access and can be attenuated by either kidney transplantation per se or surgical fistula ligation/revision. We report an exceptional case with severe PH after k...

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Autores principales: Kabitz, Hans-Joachim, Walterspacher, Stephan, Geyer, Marcel, Fischer, Karl-Georg, Huber, Tobias B., Muendlein, Eckehard, Walz, Gerd
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2012
Materias:
Clinical Cases
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4393462/
https://www.ncbi.nlm.nih.gov/pubmed/25874095
http://dx.doi.org/10.1093/ckj/sfs050
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author Kabitz, Hans-Joachim
Walterspacher, Stephan
Geyer, Marcel
Fischer, Karl-Georg
Huber, Tobias B.
Muendlein, Eckehard
Walz, Gerd
author_facet Kabitz, Hans-Joachim
Walterspacher, Stephan
Geyer, Marcel
Fischer, Karl-Georg
Huber, Tobias B.
Muendlein, Eckehard
Walz, Gerd
author_sort Kabitz, Hans-Joachim
collection PubMed
description Pulmonary hypertension (PH) occurs in end-stage renal disease (ESRD) patients on long-term haemodialysis (HD) using an arterio-venous (A-V) access and can be attenuated by either kidney transplantation per se or surgical fistula ligation/revision. We report an exceptional case with severe PH after kidney transplantation due to ESRD and prior chronic intermittent HD via a patent A-V fistula. Gold-standard right heart catheterization findings have—for the first time—proven that following surgical shunt ligation of the A-V fistula, haemodynamics normalized completely in this patient.
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spelling pubmed-43934622015-04-13 Reversible pulmonary hypertension in a kidney transplant with patent A-V fistula Kabitz, Hans-Joachim Walterspacher, Stephan Geyer, Marcel Fischer, Karl-Georg Huber, Tobias B. Muendlein, Eckehard Walz, Gerd Clin Kidney J Clinical Cases Pulmonary hypertension (PH) occurs in end-stage renal disease (ESRD) patients on long-term haemodialysis (HD) using an arterio-venous (A-V) access and can be attenuated by either kidney transplantation per se or surgical fistula ligation/revision. We report an exceptional case with severe PH after kidney transplantation due to ESRD and prior chronic intermittent HD via a patent A-V fistula. Gold-standard right heart catheterization findings have—for the first time—proven that following surgical shunt ligation of the A-V fistula, haemodynamics normalized completely in this patient. Oxford University Press 2012-08 2012-06-29 /pmc/articles/PMC4393462/ /pubmed/25874095 http://dx.doi.org/10.1093/ckj/sfs050 Text en © The Author 2012. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For permissions, please email: journals.permissions@oup.com. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Clinical Cases
Kabitz, Hans-Joachim
Walterspacher, Stephan
Geyer, Marcel
Fischer, Karl-Georg
Huber, Tobias B.
Muendlein, Eckehard
Walz, Gerd
Reversible pulmonary hypertension in a kidney transplant with patent A-V fistula
title Reversible pulmonary hypertension in a kidney transplant with patent A-V fistula
title_full Reversible pulmonary hypertension in a kidney transplant with patent A-V fistula
title_fullStr Reversible pulmonary hypertension in a kidney transplant with patent A-V fistula
title_full_unstemmed Reversible pulmonary hypertension in a kidney transplant with patent A-V fistula
title_short Reversible pulmonary hypertension in a kidney transplant with patent A-V fistula
title_sort reversible pulmonary hypertension in a kidney transplant with patent a-v fistula
topic Clinical Cases
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4393462/
https://www.ncbi.nlm.nih.gov/pubmed/25874095
http://dx.doi.org/10.1093/ckj/sfs050
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