PMID- 17993256 OWN - NLM STAT- MEDLINE DCOM- 20080313 LR - 20101118 IS - 0890-5096 (Print) IS - 0890-5096 (Linking) VI - 22 IP - 1 DP - 2008 Jan TI - Sudden death after arteriovenous fistula ligation in a renal transplant patient. PG - 134-5 AB - After a period of time using an arteriovenous (AV) fistula as vascular access for hemodialysis, kidney transplant recipients usually undertake surgical closure if the fistula is not spontaneously closed. In all prospective studies addressing this issue, absence of major adverse events and progressive decrease in left ventricular volume and mass is the rule. However, in these studies, patients with heart failure New York Heart Association (NYHA) III or IV were not included, and consequently, the effects of AV ligation in these high-risk patients are not well known. We present a heart failure NYHA IV renal transplant patient with fatal evolution after surgical closure of her high-flow AV fistula. FAU - Pascual, Julio AU - Pascual J AD - Department of Nephrology, Hospital Ramon y Cajal, Madrid, Spain. jpascual.hrc@salud.madrid.org FAU - Martins, Judith AU - Martins J FAU - Bouarich, Hannane AU - Bouarich H FAU - Galeano, Cristina AU - Galeano C FAU - Barrios, Vivencio AU - Barrios V FAU - Marcen, Roberto AU - Marcen R FAU - Ortuno, Joaquin AU - Ortuno J LA - eng PT - Case Reports PT - Journal Article DEP - 20071112 PL - Netherlands TA - Ann Vasc Surg JT - Annals of vascular surgery JID - 8703941 SB - IM MH - Arteriovenous Shunt, Surgical/*adverse effects MH - Cardiac Output, High/*complications/etiology MH - Death, Sudden, Cardiac/*etiology MH - Fatal Outcome MH - Female MH - Heart Failure/*complications/etiology/physiopathology MH - Humans MH - *Kidney Transplantation MH - Ligation MH - Middle Aged MH - *Renal Dialysis MH - Renal Insufficiency/complications/physiopathology/surgery/*therapy MH - Severity of Illness Index EDAT- 2007/11/13 09:00 MHDA- 2008/03/14 09:00 CRDT- 2007/11/13 09:00 PHST- 2007/01/31 00:00 [received] PHST- 2007/06/29 00:00 [revised] PHST- 2007/07/16 00:00 [accepted] PHST- 2007/11/13 09:00 [pubmed] PHST- 2008/03/14 09:00 [medline] PHST- 2007/11/13 09:00 [entrez] AID - S0890-5096(07)00326-3 [pii] AID - 10.1016/j.avsg.2007.07.031 [doi] PST - ppublish SO - Ann Vasc Surg. 2008 Jan;22(1):134-5. doi: 10.1016/j.avsg.2007.07.031. Epub 2007 Nov 12.