title: Reversible pulmonary hypertension in a kidney transplant with patent A-V fistula.
abstract: Pulmonary hypertension (PH) occurs in end-stage renal disease (ESRD) patients on long-term haemodialysis (HD) using an arterio-venous (A-V) access and can be attenuated by either kidney transplantation per se or surgical fistula ligation/revision. We report an exceptional case with severe PH after kidney transplantation due to ESRD and prior chronic intermittent HD via a patent A-V fistula. Gold-standard right heart catheterization findings have-for the first time-proven that following surgical shunt ligation of the A-V fistula, haemodynamics normalized completely in this patient.
authors: Department of Pneumology , University Hospital Freiburg , Freiburg , Germany.
authors: Hans-Joachim
authors: HJ
authors: Kabitz
authors: Department of Pneumology , University Hospital Freiburg , Freiburg , Germany.
authors: Stephan
authors: S
authors: Walterspacher
authors: Department of Nephrology , University Hospital Freiburg , Freiburg , Germany.
authors: Marcel
authors: M
authors: Geyer
authors: Department of Nephrology , University Hospital Freiburg , Freiburg , Germany.
authors: Karl-Georg
authors: KG
authors: Fischer
authors: Department of Nephrology , University Hospital Freiburg , Freiburg , Germany.
authors: Tobias B
authors: TB
authors: Huber
authors: Department of Nephrology Shunt Centre , Ortenau-Klinikum Hospital Offenburg , Offenburg , Germany.
authors: Eckehard
authors: E
authors: Muendlein
authors: Department of Nephrology , University Hospital Freiburg , Freiburg , Germany.
authors: Gerd
authors: G
authors: Walz
keywords: arterio-venous access; end-stage renal disease; haemodialysis; right heart catheterization