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  • Title: Recurrent pulmonary edema induced by coronary-subclavian steal syndrome during hemodialysis.
    Author: Nanda S, Longo S, Pamula J, Dale TH.
    Journal: Eur J Cardiothorac Surg; 2009 Apr; 35(4):740-2. PubMed ID: 19233675.
    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.
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