Treatment of refractory, nonmalignant hydrothorax with a pleurovenous shunt.
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.
Park
S Z
SZ
Division of General and Thoracic Surgery, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55905, USA.
Shrager
J B
JB
Allen
M S
MS
Nagorney
D M
DM
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*