title: Acute cardiorenal syndrome by high flow arteriovenous fistula after kidney transplantation.
abstract: OBJECTIVE
  The aim of this work was to increase recognition of high flow arteriovenous fistulas in kidney transplant patients.
  
  
  METHODS
  Here, we report the case of a 22-year-old man with repeated hospitalizations for cardiomegaly and chronic pericardial effusion after kidney transplantation. Eventually, high flow of his arteriovenous fistula was recognized 5.5 years after transplantation when he developed acute cardiorenal syndrome. Access flow reduction markedly improved kidney graft function along with reversion of cardiomegaly, which was impressively demonstrated by follow-up chest-x-rays.
  
  
  CONCLUSIONS
  Arteriovenous fistulas should be monitored regularly after kidney transplantation to avoid congestive heart failure and other serious complications.
authors: Department of Nephrology and Intensive Care, Campus Virchow, Charité - Universitätsmedizin, Berlin - Germany.
authors: Peter
authors: P
authors: Nickel
authors: Safak
authors: S
authors: Gül
authors: Gero
authors: G
authors: Puhl
authors: Alexander
authors: A
authors: Poellinger
authors: Ralf
authors: R
authors: Schindler
mesh_terms: D000208:Acute Disease; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D001783:Blood Flow Velocity; D001916:Brachial Artery / Q000503:physiopathology / Q000601:surgery*; D016534:Cardiac Output, High / Q000209:etiology; D059347:Cardio-Renal Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D006332:Cardiomegaly / Q000209:etiology; D002908:Chronic Disease; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D010490:Pericardial Effusion / Q000209:etiology; D012039:Regional Blood Flow; D012086:Reoperation; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult