Recurrent pulmonary edema induced by coronary-subclavian steal syndrome during hemodialysis

Eur J Cardiothorac Surg. 2009 Apr;35(4):740-2. doi: 10.1016/j.ejcts.2009.01.008. Epub 2009 Feb 23.

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.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Humans
  • Middle Aged
  • Pulmonary Edema / etiology*
  • Radiography
  • Recurrence
  • Renal Dialysis / adverse effects*
  • Stents
  • Subclavian Steal Syndrome / complications*
  • Subclavian Steal Syndrome / diagnostic imaging
  • Subclavian Steal Syndrome / therapy