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An interesting case: retrograde blood flow from a LIMA sustaining hemodialysis via an AVF.
MedLine Citation:
PMID:  19747173     Owner:  NLM     Status:  In-Process    
A case is described in which the inflow of a left radiocephalic arteriovenous fistula was being maintained by retrograde flow from a patent left internal mammary artery bypass graft, distal to a severe left subclavian artery stenosis. The clinical manifestations of this phenomenon were angina, lateral chest wall pain during dialysis, and distal hypoperfusion of the left hand. After stenting of the subclavian lesion, all symptoms resolved.
Aaron B Schoenkerman; Giorgio Gimelli; Alexander S Yevzlin
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Publication Detail:
Type:  Journal Article     Date:  2009-09-11
Journal Detail:
Title:  Seminars in dialysis     Volume:  22     ISSN:  1525-139X     ISO Abbreviation:  Semin Dial     Publication Date:    2009 Sep-Oct
Date Detail:
Created Date:  2009-10-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8911629     Medline TA:  Semin Dial     Country:  United States    
Other Details:
Languages:  eng     Pagination:  566-8     Citation Subset:  IM    
Department of Medicine, Section of Cardiovascular Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin 53713, USA.
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