title: Acute renal failure and volume overload syndrome secondary to a femorofemoral arteriovenous fistula angioplasty in a kidney transplant recipient.
abstract: Experimental and clinical studies analyzing the impact of AVF on cardiovascular and renal parameters, as well as outcomes, in kidney transplant recipients are lacking. On the other hand, it is not known whether AVF ligation after transplantation modifies hemodynamic parameters and kidney function. We report a case of a renal transplant recipient who developed an acute congestive heart failure accompanied by renal failure, which were triggered by femorofemoral AVF angioplasty. Prompt AVF ligation rapidly reversed clinical symptoms and normalized cardiac and renal functions. This paper illustrates the potential deleterious consequences of high-output AVF after kidney transplantation and raises considerations regarding the impact of the fistula on cardiac status and kidney function after kidney transplantation and, consequently, the management AVF after transplantation.
authors.affiliation: Service de Transplantation Rénale et Soins Intensifs, Hôpital Necker, Assistance Publique Hôpitaux de Paris, Université Paris Descartes, 75015 Paris, France.
authors.forename: Dominique
authors.initials: D
authors.lastname: Bertrand
authors.forename: Geoffroy
authors.initials: G
authors.lastname: Desbuissons
authors.forename: Nicolas
authors.initials: N
authors.lastname: Pallet
authors.forename: Albane
authors.initials: A
authors.lastname: Sartorius
authors.forename: Christophe
authors.initials: C
authors.lastname: Legendre
authors.forename: Marie-France
authors.initials: MF
authors.lastname: Mamzer
authors.forename: Rebecca
authors.initials: R
authors.lastname: Sberro Soussan