{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:20:51Z","timestamp":1760955651621,"version":"3.28.0"},"reference-count":8,"publisher":"Texas Heart Institute Journal","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,8]]},"abstract":"Surgically created arteriovenous fistulae (AVF) for hemodialysis can contribute to hemodynamic changes. We describe the cases of 2 male patients in whom new right ventricular enlargement developed after an AVF was created for hemodialysis. Patient 1 sustained high-output heart failure solely attributable to the AVF. After AVF banding and subsequent ligation, his heart failure and right ventricular enlargement resolved. In Patient 2, the AVF contributed to new-onset right ventricular enlargement, heart failure, and ascites. His severe pulmonary hypertension was caused by diastolic heart failure, diabetes mellitus, and obstructive sleep apnea. His right ventricular enlargement and heart failure symptoms did not improve after AVF ligation.<\/jats:p>\n We think that our report is the first to specifically correlate the echocardiographic finding of right ventricular enlargement with AVF sequelae. Clinicians who treat end-stage renal disease patients should be aware of this potential sequela of AVF creation, particularly in the upper arm. We recommend obtaining preoperative echocardiograms in all patients who will undergo upper-arm AVF creation, so that comparisons can be made postoperatively. Alternative consideration should be given to creating the AVF in the radial artery, because of less shunting and therefore less potential for right-sided heart failure and pulmonary hypertension. A multidisciplinary approach is optimal when selecting patients for AVF banding or ligation.<\/jats:p>","DOI":"10.14503\/thij-15-5353","type":"journal-article","created":{"date-parts":[[2016,8,5]],"date-time":"2016-08-05T21:08:19Z","timestamp":1470431299000},"page":"350-353","source":"Crossref","is-referenced-by-count":10,"title":["Right Ventricular Enlargement within Months of Arteriovenous Fistula Creation in 2 Hemodialysis Patients"],"prefix":"10.14503","volume":"43","author":[{"given":"Loheetha","family":"Ragupathi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Drew","family":"Johnson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregary D.","family":"Marhefka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"3","key":"i1526-6702-43-4-350-b1","series-title":"J Am Soc Nephrol","first-page":"745","article-title":"Renal insufficiency and subsequent death resulting from cardiovascular disease in the United States","volume":"13","year":"2002","unstructured":"Muntner\n P, \n \n He\n J, \n \n Hamm\n L, \n \n Loria\n C, \n \n Whelton\n PK.\n \n \n Renal insufficiency and subsequent death resulting from cardiovascular disease in the United States. J Am Soc Nephrol2002;13(3):745\u201353."},{"issue":"Suppl 1","key":"i1526-6702-43-4-350-b2","series-title":"Am J Kidney Dis","first-page":"S248","article-title":"Clinical practice guidelines for vascular access","volume":"48","year":"2006","unstructured":"Vascular Access Work Group. Clinical practice guidelines for vascular access. Am J Kidney Dis2006;48Suppl 1:S248\u201373."},{"issue":"2","key":"i1526-6702-43-4-350-b3","series-title":"Semin Dial","first-page":"E24","article-title":"Dramatic improvement in decompensated right heart failure due to severe tricuspid regurgitation following ligation of arteriovenous fistula in a renal transplant recipient","volume":"27","year":"2014","unstructured":"Rao\n N, \n \n Worthley\n M, \n \n Disney\n P, \n \n Faull\n R.\n \n \n Dramatic improvement in decompensated right heart failure due to severe tricuspid regurgitation following ligation of arteriovenous fistula in a renal transplant recipient. Semin Dial2014;27(2):E24\u20136."},{"issue":"1","key":"i1526-6702-43-4-350-b4","series-title":"Hemodial Int","first-page":"104","article-title":"High-output heart failure secondary to arteriovenous fistula","volume":"15","year":"2011","unstructured":"Stern\n AB, \n \n Klemmer\n PJ.\n \n \n High-output heart failure secondary to arteriovenous fistula. Hemodial Int2011;15(1):104\u20137."},{"issue":"3","key":"i1526-6702-43-4-350-b5","series-title":"Am J Kidney Dis","first-page":"E8","article-title":"Reversal of pulmonary hypertension after ligation of a brachiocephalic arteriovenous fistula","volume":"40","year":"2002","unstructured":"Clarkson\n MR, \n \n Giblin\n L, \n \n Brown\n A, \n \n Little\n D, \n \n Donohoe\n J.\n \n \n Reversal of pulmonary hypertension after ligation of a brachiocephalic arteriovenous fistula. Am J Kidney Dis2002;40(3):E8."},{"issue":"4","key":"i1526-6702-43-4-350-b6","series-title":"Ren Fail","first-page":"514","article-title":"Pulmonary hypertension in dialysis patients","volume":"35","year":"2013","unstructured":"Kosmadakis\n G, \n \n Aguilera\n D, \n \n Carceles\n O, \n \n Da Costa Correia\n E, \n \n Boletis\n I.\n \n \n Pulmonary hypertension in dialysis patients. Ren Fail2013;35(4):514\u201320."},{"issue":"3","key":"i1526-6702-43-4-350-b7","series-title":"J Vasc Access","first-page":"160","article-title":"Effects of the arteriovenous fistula on pulmonary artery pressure and cardiac output in patients with chronic renal failure","volume":"10","year":"2009","unstructured":"Beigi\n AA, \n \n Sadeghi\n AM, \n \n Khosravi\n AR, \n \n Karami\n M, \n \n Masoudpour\n H.\n \n \n Effects of the arteriovenous fistula on pulmonary artery pressure and cardiac output in patients with chronic renal failure. J Vasc Access2009;10(3):160\u20136."},{"issue":"3","key":"i1526-6702-43-4-350-b8","series-title":"Nephron Clin Pract","first-page":"c257","article-title":"Right ventricular diastolic function in dialysis patients could be affected by vascular access","volume":"118","year":"2011","unstructured":"Di Lullo\n L, \n \n Floccari\n F, \n \n Polito\n P.\n \n \n Right ventricular diastolic function in dialysis patients could be affected by vascular access. Nephron Clin Pract2011;118(3):c257\u201361."}],"container-title":["Texas Heart Institute Journal"],"original-title":[],"link":[{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/43\/4\/article-p350.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/thij\/article-pdf\/43\/4\/350\/1971159\/thij-15-5353.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/43\/4\/article-p350.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/43\/4\/article-p350.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T15:32:07Z","timestamp":1730993527000},"score":1,"resource":{"primary":{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/43\/4\/article-p350.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,8]]},"references-count":8,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.14503\/thij-15-5353","relation":{},"ISSN":["0730-2347","1526-6702"],"issn-type":[{"type":"print","value":"0730-2347"},{"type":"electronic","value":"1526-6702"}],"subject":[],"published":{"date-parts":[[2016,8]]}}}