Article Information

Title: Improvement of Pulmonary Hypertension In A Transplant Patient

Authors: Faiqa Fatima, Nabiha Rizvi

Journal: Pakistan journal of kidney diseases (Online)

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Year: 2019

Volume: 3

Issue: 7

Language: en

DOI: 10.53778/pjkd37105

Keywords: Arteriovenous fistulaBlood flowCardiac OutputKidney Transplantpulmonary hypertension

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Abstract

Pulmonary hypertension is not an uncommon finding in patients on hemodialysis. This is usually cardiac in origin including left ventricular failure or diastolic dysfunction. Arteriovenous fistula causing high flow in the venous return may lead to pulmonary hypertension and right sided failure. We here report a patient with pulmonary hypertension post kidney transplantation that did not respond to management over a period of 3 years and ultimately improved significantly after closure of arteriovenous fistula created for hemodialysis pre-transplant.

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