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  • Title: Reversal of pulmonary hypertension after ligation of a brachiocephalic arteriovenous fistula.
    Author: Clarkson MR, Giblin L, Brown A, Little D, Donohoe J.
    Journal: Am J Kidney Dis; 2002 Sep; 40(3):E8. PubMed ID: 12200825.
    Abstract:
    The arteriovenous (AV) fistula is the access method of choice for long-term hemodialysis according to DOQI guidelines. Among the recognized complications of upper extremity AV fistulae fashioned for hemodialysis are infection, aneurysm formation, and high-output left ventricular failure. We describe a novel cardiopulmonary complication--secondary pulmonary hypertension resulting from an aneurysmal brachiocephalic AV fistula. The clinical presentation, investigation, management, and pathophysiology of this complication are discussed.
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