title: Isolated pleural effusion as a presentation of high cardiac output heart failure in a hemodialysis patient.
abstract: Congestive heart failure is a well-recognized complication of hemodialysis arteriovenous fistula. Symptoms of dyspnea are usually associated with signs of congestive heart failure including pulmonary edema, pleural effusions, lower extremity edema, and liver enlargement, to name a few. We present a case of a gentleman with end-stage renal disease on chronic hemodialysis, which developed acute bilateral transudative pleural effusions in the absence of other signs of systemic venous congestion, associated with pulmonary venous congestion. We also discuss the pathogenesis and role of hemodialysis in management of this patient.
authors.affiliation: Division of Nephrology, Department of Internal Medicine, University of Missouri, Columbia, Missouri 65212, USA. dhawanv@health.missouri.edu
authors.forename: Vibhu
authors.initials: V
authors.lastname: Dhawan
authors.forename: Venkatesh
authors.initials: V
authors.lastname: Ariyamuthu
authors.forename: Kunal
authors.initials: K
authors.lastname: Malhotra
authors.forename: Pranav
authors.initials: P
authors.lastname: Dalal
authors.forename: Prasad
authors.initials: P
authors.lastname: Bichu
authors.forename: Smrita
authors.initials: S
authors.lastname: Dorairajan
mesh_terms: D000328:Adult; D016534:Cardiac Output, High / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D006333:Heart Failure / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D008297:Male; D010996:Pleural Effusion / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D006435:Renal Dialysis / Q000009:adverse effects*