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Published in: Journal of Cardiothoracic Surgery 1/2008

Open Access 01-12-2008 | Case report

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

Authors: Brian Nyawo, Amit Pawale, Leena Pardeshi, David Talbot, Jonathan Forty

Published in: Journal of Cardiothoracic Surgery | Issue 1/2008

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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.
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Metadata
Title
The effect of a large proximal haemodialysis arterio-venous fistula on weaning off cardiopulmonary bypass: case report
Authors
Brian Nyawo
Amit Pawale
Leena Pardeshi
David Talbot
Jonathan Forty
Publication date
01-12-2008
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2008
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/1749-8090-3-44

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