SOHAN L. DUA, M.D.
To the editor: The Cimino-Brescia (1) fistula has been claimed to be one of the great advances in the technique of hemodialysis. A modification (2) with saphenous vein graft has been devised. Although it is generally accepted that the increased cardiac output produced by the fistula is not clinically significant (1, 3), a few cases of congestive heart failure have been reported (4, 5). A similar case of a patient who went into acute heart failure after the construction of such a saphenous vein graft arteriovenous fistula is reported here.
In 1963, a 63-year-old Chinese man was treated with diuretic
DUA SL. Heart Failure and Arteriovenous Fistula. Ann Intern Med. ;80:671. doi: 10.7326/0003-4819-80-5-671
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Published: Ann Intern Med. 1974;80(5):671.
Cardiology, Heart Failure.
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