Left‐Sided High‐Flow Arteriovenous Hemodialysis Fistula Combined with a Persistent Left Superior Vena Cava Causing Coronary Sinus Dilatation. Issue 2 (12th December 2012)

• Record Type: Journal Article
• Authors: Wolf, Michael; Scott, Benjamin
• Is Part Of: Seminars in dialysis. Volume 26:Issue 2(2013)
• Page Start: E13
• Page End: E16
• Publication Date: 2012-12-12
• Subjects: Hemodialysis -- Periodicals; Dialysis -- Periodicals; Renal Dialysis -- Periodicals; 617.461059
• DOI: 10.1111/sdi.12047
• Languages: English
• ISSNs: 0894-0959

Abstract

<abstract abstract-type="main" xml:lang="en"> <title>Abstract</title> <p>We present an interesting case illustrating the possible hemodynamic consequences when a left‐sided arteriovenous hemodialysis fistula is combined with the congenital anomaly of a persistent left superior vena cava (PLSVC). Our case illustrates the importance of an echocardiographic examination with attention to the coronary sinus (CS) caliber—raising suspicion of a PLSVC—in the assessment for the hemodialysis access in end‐stage renal disease patients. The causes and symptoms of CS dilatation, as well as the literature on PLSVC, are also discussed in detail.</p> </abstract>