Pleuroperitoneal shunting for intractable cardiogenic pleural effusions.
A 72-year-old man underwent post-infarction ventricular septal defect repair. Postoperatively, he required prolonged ventilation and could not be weaned from positive-pressure-assisted ventilation because of intractable bilateral pleural effusions. Conservative therapy was ineffective. After instituting pleuroperitoneal shunting, the patient could be weaned easily from a respirator.
Department of Cardiovascular Surgery, Gifu Municipal Hospital, Gifu, Japan. tkato@heart-center.or.jp
Takayoshi
T
Kato
Yukio
Y
Umeda
Ken-Ichiro
K
Azuma
Shinji
S
Murakawa
D000368:Aged; D006348:Cardiac Surgical Procedures / Q000009:adverse effects; D004322:Drainage / Q000379:methods*; D006801:Humans; D008297:Male; D010996:Pleural Effusion / Q000209:etiology / Q000601:surgery*; D011175:Positive-Pressure Respiration; D016896:Treatment Outcome; D015300:Ventilator Weaning; D018658:Ventricular Septal Rupture / Q000601:surgery*