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Recurrent pulmonary edema induced by coronary-subclavian steal syndrome during hemodialysis

2009; Oxford University Press; Volume: 35; Issue: 4 Linguagem: Inglês

10.1016/j.ejcts.2009.01.008

1873-734X

Sudip Nanda, Santo Longo, John Pamula, Thompson H. Dale,

Cardiac tumors and thrombi

We describe a case of recurrent pulmonary edema after hemodialysis despite the patient being at ideal dry weight. Coronary-subclavian steal syndrome can cause serious complications in end-stage renal disease patients on hemodialysis. This is a case of subclavian steal, made worse by hemodialysis, using an upper limb hemodialysis fistula. Complete resolution of symptoms followed percutaneous stenting of the arteriosclerotic subclavian artery. A high index of suspicion of this physiological phenomenon is needed for diagnosis.