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

Nanda, Sudip; Longo, Santo; Pamula, John; Dale, Thompson H.
April 2009
European Journal of Cardio-Thoracic Surgery;Apr2009, Vol. 35 Issue 4, p740
Academic Journal
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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