title: High-output cardiac failure following insertion of right femoral artery to left femoral vein PTFE graft for haemodialysis: a case report.
abstract: Arteriovenous grafts used for hemodialysis can produce high-output cardiac failure as a result of shunting of blood through the dialysis access. The following case demonstrates that the problem can occur shortly after graft formation and improved with graft ligation. It caused haemodynamic compromise because of previously undiagnosed, underlying valvular heart disease. It also caused a diagnostic difficulty in the immediate postoperative period as it was mistaken for postsurgical hemorrhage.
authors.affiliation: Renal and Transplantation Unit, St George's Hospital NHS Trust, Tooting, London, United Kingdom.
authors.forename: Sanjukta
authors.initials: S
authors.lastname: Acharya
authors.forename: Debasish
authors.initials: D
authors.lastname: Banerjee
authors.forename: Jiri
authors.initials: J
authors.lastname: Fronek
authors.forename: Nicoletta
authors.initials: N
authors.lastname: Fossati
authors.forename: Eric S
authors.initials: ES
authors.lastname: Chemla
mesh_terms: D000328:Adult; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D016534:Cardiac Output, High / Q000175:diagnosis / Q000209:etiology*; D002408:Catheters, Indwelling / Q000009:adverse effects; D005260:Female; D005263:Femoral Artery; D005268:Femoral Vein; D006333:Heart Failure / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D011138:Polytetrafluoroethylene; D006435:Renal Dialysis
chemical_list: D011138:Polytetrafluoroethylene