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An Interesting Case: Retrograde Blood Flow from a LIMA Sustaining Hemodialysis via an AVF

2009; Wiley; Volume: 22; Issue: 5 Linguagem: Inglês

10.1111/j.1525-139x.2009.00627.x

1525-139X

Aaron B. Schoenkerman, Giorgio Gimelli, Alexander S. Yevzlin,

Vascular anomalies and interventions

Abstract A case is described in which the inflow of a left radiocephalic arteriovenous fistula was being maintained by retrograde flow from a patent left internal mammary artery bypass graft, distal to a severe left subclavian artery stenosis. The clinical manifestations of this phenomenon were angina, lateral chest wall pain during dialysis, and distal hypoperfusion of the left hand. After stenting of the subclavian lesion, all symptoms resolved.