Acute hepatic failure associated with arteriovenous fistulae for hemodialysis.
We present the case of a 63-year-old woman who was admitted to the intensive care unit for altered mental status and hypotension 3 weeks after creation of an arteriovenous fistula (AVF). She was found to have high-output heart failure and evidence of acute hepatic failure. High-output heart failure is a known complication of AVF creation, but hepatic failure after AVF has not been previously described. We present such a case.
Department of Surgery, Tripler Army Medical Center, Honolulu, HI 96859-5000, USA.
Terri
T
Carlson
J Paul
JP
Sanders
Cristian
C
Madar
Konrad
K
Davis
Tony
T
Katras
Ronald A
RA
Gagliano
D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D016534:Cardiac Output, High / Q000209:etiology; D005260:Female; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D007022:Hypotension / Q000209:etiology; D017114:Liver Failure, Acute / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D008875:Middle Aged; D011237:Predictive Value of Tests; D006435:Renal Dialysis / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D018616:Ultrasonography, Doppler, Duplex