Aguilar C, Malillos S, Cuadrado A, Aroca M, Serrano J, López-Timoneda F
Servicios de Anestesiología y Reanimación y Cirugía Vascular, Hospital Universitario San Carlos, Madrid.
Rev Esp Anestesiol Reanim. 1995 Nov;42(9):386-8.
The case of a 42-year-old woman with an arteriovenous fistula on the left kidney is described. Twenty-six years before presentation, a percutaneous renal biopsy had been obtained. The patient presented with arterial hypertension, angina and dyspnea. We studied the hemodynamic parameters before and after surgical repair of the fistula. Pulmonary artery pressure was very high but fell to normal after surgery, indicating that the fistula was responsible for hemodynamic complications that increased the level of surgical risk.
描述了一名42岁左侧肾动静脉瘘女性患者的病例。在就诊前26年曾进行过经皮肾活检。患者出现动脉高血压、心绞痛和呼吸困难。我们研究了瘘管手术修复前后的血流动力学参数。肺动脉压非常高，但术后降至正常，表明瘘管是导致增加手术风险水平的血流动力学并发症的原因。
