Right ventricular thrombosis after peritoneovenous shunt: nonoperative treatment with successful outcome.
Complications of peritoneovenous shunt for intractable ascites include a high propensity to malfunction, facilitation of infection, and the induction of coagulopathies. Right heart thrombosis is a rarely encountered adverse effect, the management of which has not yet been defined. We report a patient with an extensive right heart thrombus in the setting of a blocked peritoneovenous shunt that was discovered incidentally and treated expectantly with subsequent complete resolution and satisfactory outcome.
Hill
D B
DB
Department of Medicine, University of Kentucky Medical Center, Lexington 40536-0084.
John
W J
WJ
Gilinsky
N H
NH
D000328:Adult; D001201:Ascites / Q000601:surgery; D006331:Heart Diseases / Q000209:etiology* / Q000628:therapy; D006352:Heart Ventricles; D006801:Humans; D008104:Liver Cirrhosis, Alcoholic / Q000628:therapy; D008297:Male; D010536:Peritoneovenous Shunt / Q000009:adverse effects*; D013927:Thrombosis / Q000209:etiology* / Q000628:therapy