Left-Sided High-Flow Arteriovenous Hemodialysis Fistula Combined with a Persistent Left Superior Vena Cava Causing Coronary Sinus Dilatation
Article first published online: 12 DEC 2012
© 2012 Wiley Periodicals, Inc.
Seminars in Dialysis
Volume 26, Issue 2, pages E13–E16, March/April 2013
How to Cite
Wolf, M. and Scott, B. (2013), Left-Sided High-Flow Arteriovenous Hemodialysis Fistula Combined with a Persistent Left Superior Vena Cava Causing Coronary Sinus Dilatation. Seminars in Dialysis, 26: E13–E16. doi: 10.1111/sdi.12047
- Issue published online: 21 MAR 2013
- Article first published online: 12 DEC 2012
We present an interesting case illustrating the possible hemodynamic consequences when a left-sided arteriovenous hemodialysis fistula is combined with the congenital anomaly of a persistent left superior vena cava (PLSVC). Our case illustrates the importance of an echocardiographic examination with attention to the coronary sinus (CS) caliber—raising suspicion of a PLSVC—in the assessment for the hemodialysis access in end-stage renal disease patients. The causes and symptoms of CS dilatation, as well as the literature on PLSVC, are also discussed in detail.