The effect of a large proximal haemodialysis arterio-venous fistula on weaning off cardiopulmonary bypass: Case report

Brian Nyawo; Amit Pawale; Leena Pardeshi; David Talbot; Jonathan Forty

doi:10.1186/1749-8090-3-44

The effect of a large proximal haemodialysis arterio-venous fistula on weaning off cardiopulmonary bypass: Case report

Brian Nyawo^*, Amit Pawale, Leena Pardeshi, David Talbot, Jonathan Forty

^*Corresponding author for this work

Surgery, Cardiac Surgery Division

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

An increasing number of renal dialysis-dependent patients with Arterio-Venous fistulae are undergoing cardiac surgery. The fistula has important effects on systemic hemodynamics in dialysis patients. The flow is significantly and positively related to cardiac output and cardiac index, and inversely related to pulmonary vascular resistance. Few problems are encountered on cardiopulmonary bypass despite left to right shunting of blood. We present an unusual case in which a large brachial Arterio-Venous fistula with large collaterals prevented weaning off cardiopulmonary bypass.

Original language	English (US)
Article number	44
Journal	Journal of Cardiothoracic Surgery
Volume	3
Issue number	1
DOIs	https://doi.org/10.1186/1749-8090-3-44
State	Published - Jul 9 2008

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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The effect of a large proximal haemodialysis arterio-venous fistula on weaning off cardiopulmonary bypass: Case report

Abstract

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