ArticleJACC. Case reports2026
High-Output Heart Failure and Pulmonary Hypertension Caused by Arteriovenous Graft: Diagnosis and Treatment.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Temporary Balloon Occlusion and Dialysis Strategy in Arteriovenous Graft-Induced High-Output Heart Failure.JACC. Case reports · 2026Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSurgical arteriovenous (AV) fistulas provide vascular access for hemodialysis in patients with end-stage renal disease, but this low-resistance pathway can lead to high-flow circulation and cardiac decompensation. CASE SUMMARY: A 42-year-old woman with end-stage renal disease from chronic glomerulonephritis and a failed renal transplant resumed hemodialysis via a 22-year-old left-arm brachiocephalic AV graft. She developed high-output heart failure. We ligated the AV graft and placed a peritoneal dialysis catheter. Hemodynamic parameters were normal 6 months postligation. DISCUSSION: Treatment of high-output heart failure and pulmonary hypertension via permanent surgical ligation of an AV fistula is complicated. Ligation can improve cardiac function, but studies are not adequately powered to change practice. The risks and benefits of AV fistula ligation or removal must be reviewed carefully. TAKE-HOME MESSAGE: This case highlights that high-output heart failure is a serious complication of AV access in patients on dialysis, requiring careful diagnosis and multidisciplinary management.
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