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Two hemodialysis cases with bilateral arterio-venous fistels who showed high-output failure are reported. The cardiac index of these cases were 6.18 and 7.13 1/min/m2, respectively. On closing one of the bilateral fistulas, the index decreased to 5.06 and 5.54 1/min/m2, respectively. However, their mean pulmonary arterial pressures showed practically no change. This study indicates that the increase in pulmonary vascular resistance is associat ed with the function of the right-ventricle enhanced by arterio-venous fistul. Further studies are in progress.

Right-ventricule function in hemodialysis patients with Bilateral arteriovenous fistels