title: Recurrent pulmonary edema induced by coronary-subclavian steal syndrome during hemodialysis.
abstract: 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.
authors.affiliation: Department of Internal Medicine, St. Luke's Hospital, 801, Ostrum Street, Bethlehem, PA 18015, USA.
authors.forename: Sudip
authors.initials: S
authors.lastname: Nanda
authors.forename: Santo
authors.initials: S
authors.lastname: Longo
authors.forename: John
authors.initials: J
authors.lastname: Pamula
authors.forename: Thompson H
authors.initials: TH
authors.lastname: Dale
mesh_terms: 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