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

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Abstract

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. © 2009 European Association for Cardio-Thoracic Surgery.

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Nanda, S., Longo, S., Pamula, J., & Dale, T. H. (2009). Recurrent pulmonary edema induced by coronary-subclavian steal syndrome during hemodialysis. European Journal of Cardio-Thoracic Surgery, 35(4), 740–742. https://doi.org/10.1016/j.ejcts.2009.01.008

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