title: Treatment of refractory, nonmalignant hydrothorax with a pleurovenous shunt.
abstract: We present a case of long-term successful application of pleurovenous shunting for the management of pleural effusion. Intractable symptomatic hydrothorax developed as a result of transdiaphragmatic migration of hepatic ascites. After failure of traditional treatment by mechanical pleurodesis, a pleurovenous shunt was inserted. After 1 year of follow-up, the effusion is well controlled, and the shunt remains patent.
authors.affiliation: Division of General and Thoracic Surgery, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55905, USA.
authors.forename: S Z
authors.initials: SZ
authors.lastname: Park
authors.forename: J B
authors.initials: JB
authors.lastname: Shrager
authors.forename: M S
authors.initials: MS
authors.lastname: Allen
authors.forename: D M
authors.initials: DM
authors.lastname: Nagorney
mesh_terms: D002406:Catheterization, Peripheral; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D006876:Hydrothorax / Q000000981:diagnostic imaging / Q000628:therapy*; D008875:Middle Aged; D010994:Pleura / Q000601:surgery*; D010996:Pleural Effusion / Q000601:surgery; D018700:Pleurodesis; D011859:Radiography; D012008:Recurrence; D013350:Subclavian Vein / Q000601:surgery*