title: High-output cardiac failure secondary to a large arteriovenous fistula: a persistent threat to the dialysis and kidney transplant patient.
abstract: High-output cardiac failure secondary to a surgically constructed arteriovenous fistula (AVF) is a rare entity that is usually under-diagnosed in the dialysis population. We herein present a case of a 35-year-old female who was diagnosed with high-output cardiac failure secondary to an AVF and later managed with surgical division of the fistula. Risk factors associated with this entity are discussed, and preventive screening strategies are recommended.
authors.affiliation: Division of Vascular Surgery, Department of Surgery.
authors.forename: Mohamad
authors.initials: M
authors.lastname: Khreiss
authors.affiliation: Division of Vascular Surgery, Department of Surgery.
authors.forename: Fady F
authors.initials: FF
authors.lastname: Haddad
authors.affiliation: Division of Vascular Surgery, Department of Surgery.
authors.forename: Khaled M
authors.initials: KM
authors.lastname: Musallam
authors.affiliation: Division of Nephrology, Department of Internal Medicine , American University of Beirut Medical Center , Beirut , Lebanon.
authors.forename: Walid
authors.initials: W
authors.lastname: Medawar
authors.affiliation: Division of Nephrology, Department of Internal Medicine , American University of Beirut Medical Center , Beirut , Lebanon.
authors.forename: Majida
authors.initials: M
authors.lastname: Daouk
authors.affiliation: Division of Vascular Surgery, Department of Surgery.
authors.forename: Ismail
authors.initials: I
authors.lastname: Khalil
keywords: complication; fistula; haemodialysis; heart failure