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Case Reports in Medicine
Volume 2011, Article ID 197816, 2 pages
Case Report

Recompensation of Heart and Kidney Function after Treatment with Peritoneal Dialysis in a Case of Congestive Heart Failure

1Department of Nephrology, University Hospital, Im Neuenheimer Feld 162, 69120 Heidelberg, Germany
2Department of Cardiology, University Hospital, Im Neuenheimer Feld 410, 69120 Heidelberg, Germany
3Department of Cardiology, Herz-Gefäßzentrum, Römstedter Straße 25, 29549 Bad Bevensen, Germany

Received 5 July 2011; Accepted 5 September 2011

Academic Editor: Arduino A. Mangoni

Copyright © 2011 Lars P. Kihm et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We report the case of a 57-year-old woman suffering from congestive heart failure. Due to refractory congestions despite optimised medical treatment, the patient was listed for heart transplantation and peritoneal dialysis was initiated. Peritoneal dialysis led to a significant weight loss, reduction of hyperhydration and extracellular water obtained by bioimpedance measurement, and a significant improvement in clinical and echocardiographic examination. Furthermore, residual kidney function increased during the long-term followup, and subsequently peritoneal dialysis was ceased. Pulmonary artery pressure and left ventricular ejection fraction remained stable and the patient did well. This case demonstrates the possibility of treating hyperhydration due to congestive heart failure with peritoneal dialysis resulting in recompensation of both heart and kidney functions.