caa a22 4500 445883626 CHVBK 20180317145552.0 cr unu---uuuuu 170323e20111001xx s 000 0 eng 10.1007/s10157-011-0484-3 doi (NATIONALLICENCE)springer-10.1007/s10157-011-0484-3 Acute systemic hypotension after arteriovenous fistula construction in a patient with severe aortic stenosis [Elektronische Daten] [Naobumi Mise, Lisa Uchida, Mototsugu Tanaka, Shinji Tanaka, Hiroyoshi Nakajima, Tokuichiro Sugimoto] We report the case of a 53-year-old hemodialysis patient with severe aortic stenosis, who developed acute systemic hypoperfusion after arteriovenous fistula (AVF) construction. He presented with hypotension and repeated syncope soon after distal radiocephalic AVF construction, and finally developed a respiratory arrest. His blood pressure and hemodynamics recovered promptly by sub-emergent aortic valve replacement surgery. In the present case, the heart with severe aortic stenosis could not increase cardiac output in response to the reduction in peripheral vascular resistance caused by the AVF. High-output heart failure, a relatively rare AVF-associated disorder, occurs with an excessive AVF flow, usually more than 3L/min or 30% of cardiac output. However, heart failure may develop soon after construction of an AVF with a moderate blood flow if a patient's cardiac function is severely impaired. In addition, heart failure may improve with AVF preservation if the underlying heart disease is treatable. Japanese Society of Nephrology, 2011 Aortic stenosis nationallicence Aortic valve replacement nationallicence Arteriovenous fistula nationallicence Hemodialysis nationallicence High-output heart failure nationallicence Mise Naobumi Division of Nephrology, Department of Medicine, Mitsui Memorial Hospital, 1 Kanda-izumi-cho, Chiyoda-ku, 101-8643, Tokyo, Japan aut Uchida Lisa Division of Nephrology, Department of Medicine, Mitsui Memorial Hospital, 1 Kanda-izumi-cho, Chiyoda-ku, 101-8643, Tokyo, Japan aut Tanaka Mototsugu Division of Nephrology, Department of Medicine, Mitsui Memorial Hospital, 1 Kanda-izumi-cho, Chiyoda-ku, 101-8643, Tokyo, Japan aut Tanaka Shinji Division of Nephrology, Department of Medicine, Mitsui Memorial Hospital, 1 Kanda-izumi-cho, Chiyoda-ku, 101-8643, Tokyo, Japan aut Nakajima Hiroyoshi Division of Cardiology, Department of Medicine, Mitsui Memorial Hospital, Tokyo, Japan aut Sugimoto Tokuichiro Division of Nephrology, Department of Medicine, Mitsui Memorial Hospital, 1 Kanda-izumi-cho, Chiyoda-ku, 101-8643, Tokyo, Japan aut Clinical and Experimental Nephrology Springer Japan 15/5(2011-10-01), 788-790 1342-1751 15:5<788 2011 15 10157 https://doi.org/10.1007/s10157-011-0484-3 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10157-011-0484-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mise Naobumi Division of Nephrology, Department of Medicine, Mitsui Memorial Hospital, 1 Kanda-izumi-cho, Chiyoda-ku, 101-8643, Tokyo, Japan aut NATIONALLICENCE 700 1- Uchida Lisa Division of Nephrology, Department of Medicine, Mitsui Memorial Hospital, 1 Kanda-izumi-cho, Chiyoda-ku, 101-8643, Tokyo, Japan aut NATIONALLICENCE 700 1- Tanaka Mototsugu Division of Nephrology, Department of Medicine, Mitsui Memorial Hospital, 1 Kanda-izumi-cho, Chiyoda-ku, 101-8643, Tokyo, Japan aut NATIONALLICENCE 700 1- Tanaka Shinji Division of Nephrology, Department of Medicine, Mitsui Memorial Hospital, 1 Kanda-izumi-cho, Chiyoda-ku, 101-8643, Tokyo, Japan aut NATIONALLICENCE 700 1- Nakajima Hiroyoshi Division of Cardiology, Department of Medicine, Mitsui Memorial Hospital, Tokyo, Japan aut NATIONALLICENCE 700 1- Sugimoto Tokuichiro Division of Nephrology, Department of Medicine, Mitsui Memorial Hospital, 1 Kanda-izumi-cho, Chiyoda-ku, 101-8643, Tokyo, Japan aut NATIONALLICENCE 773 0- Clinical and Experimental Nephrology Springer Japan 15/5(2011-10-01), 788-790 1342-1751 15:5<788 2011 15 10157 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer