title: Left-sided high-flow arteriovenous hemodialysis fistula combined with a persistent left superior vena cava causing coronary sinus dilatation.
abstract: We present an interesting case illustrating the possible hemodynamic consequences when a left-sided arteriovenous hemodialysis fistula is combined with the congenital anomaly of a persistent left superior vena cava (PLSVC). Our case illustrates the importance of an echocardiographic examination with attention to the coronary sinus (CS) caliber-raising suspicion of a PLSVC-in the assessment for the hemodialysis access in end-stage renal disease patients. The causes and symptoms of CS dilatation, as well as the literature on PLSVC, are also discussed in detail.
authors.affiliation: Department of Cardiology, Antwerp Cardiovascular Institute Middelheim, Lindendreef 1, B-2020 Antwerp, Belgium. michael.wolf@telenet.be
authors.forename: Michael
authors.initials: M
authors.lastname: Wolf
authors.forename: Benjamin
authors.initials: B
authors.lastname: Scott
mesh_terms: D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D054326:Coronary Sinus / Q000473:pathology*; D004108:Dilatation, Pathologic; D015150:Echocardiography, Doppler; D006801:Humans; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D014057:Tomography, X-Ray Computed; D014683:Vena Cava, Superior / Q000002:abnormalities*