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Development of high-output heart failure after correction of central venous occlusion: a case report

Kenan Turgutalp1, Mehmet Horoz, Turkay Ozcan

  • 1Division of Nephrology, Department of Internal Medicine, Faculty of Medicine, Mersin University, Mersin, Turkey.

Renal Failure
|August 3, 2011
PubMed

Insights

Central venous occlusion (CVO) is a complication of hemodialysis catheters. A patient with chronic kidney disease developed acute high-output heart failure (HOHF) after CVO revascularization.

Area of Science:

  • Nephrology
  • Cardiology
  • Interventional Radiology

Background:

  • Central venous catheter (CVC) use is common for hemodialysis.
  • Central venous occlusion (CVO) is a significant long-term complication of CVCs.
  • Revascularization procedures like angioplasty and stenting treat CVO, but acute complications are poorly understood.

Observation:

  • A patient with chronic kidney disease and CVO underwent percutaneous angioplasty (PTA) and stenting.
  • The patient acutely developed high-output heart failure (HOHF) immediately following the revascularization procedure.

Findings:

  • This case highlights a rare but serious acute complication of CVO revascularization.
  • The development of HOHF post-procedure in a patient with CKD and CVO is presented.

Implications:

  • Awareness of potential acute HOHF is crucial for clinicians managing CVO patients undergoing revascularization.
  • Further investigation into the mechanisms and risk factors for HOHF post-CVO treatment is warranted.
  • This case underscores the need for comprehensive monitoring during and after CVO revascularization procedures.

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