Recurrent pulmonary edema induced by coronary-subclavian steal syndrome during hemodialysis.
We describe a case of recurrent pulmonary edema after hemodialysis despite the patient being at ideal dry weight. Coronary-subclavian steal syndrome can cause serious complications in end-stage renal disease patients on hemodialysis. This is a case of subclavian steal, made worse by hemodialysis, using an upper limb hemodialysis fistula. Complete resolution of symptoms followed percutaneous stenting of the arteriosclerotic subclavian artery. A high index of suspicion of this physiological phenomenon is needed for diagnosis.
Nanda
Sudip
S
Department of Internal Medicine, St. Luke's Hospital, 801, Ostrum Street, Bethlehem, PA 18015, USA.
Longo
Santo
S
Pamula
John
J
Dale
Thompson H
TH
D005260:Female; D006801:Humans; D008875:Middle Aged; D011654:Pulmonary Edema / Q000209:etiology*; D011859:Radiography; D012008:Recurrence; D006435:Renal Dialysis / Q000009:adverse effects*; D015607:Stents; D013349:Subclavian Steal Syndrome / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy