An unusual complication of the Le Veen shunt: a right atrial ventricular chamber pseudotumor.
We report the case of a right atrial-ventricular chamber thrombus discovered four years after insertion of a Le Veen shunt for treatment of refractory ascites. A two-dimensional echocardiogram, performed after the discovery of an isolated systolic murmur, demonstrated a "tumorlike" mass seated in both the right atrium and the right ventricle. The mass was surgically removed and histologic examination confirmed that it was a thrombus developed at the tip of the catheter. We propose that two-dimensional echocardiography should be performed periodically for the survey of such intracardiac devices.
D000328:Adult; D003937:Diagnosis, Differential; D004452:Echocardiography; D005260:Female; D006331:Heart Diseases / Q000175:diagnosis / Q000209:etiology*; D006338:Heart Neoplasms / Q000175:diagnosis*; D006801:Humans; D010536:Peritoneovenous Shunt / Q000009:adverse effects*; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology*