Intracardiac thrombus causing peritoneovenous shunt failure: Detection by two-dimensional echocardiography

• Published in: Journal of the American College of Cardiology Vol. 7; no. 5; pp. 1174 - 1176
• Main Authors: Ugolini, Valentina, Norcross, James F., Schreiber, J. Tracy, Kuntz, Richard E., Taylor, Anne L.
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.05.1986; Elsevier Science
• Subjects: Biological and medical sciences; Echocardiography; Heart Diseases - complications; Heart Diseases - diagnosis; Humans; Liver, biliary tract, pancreas, portal circulation, spleen; Male; Medical sciences; Middle Aged; Peritoneovenous Shunt; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the digestive system; Thrombosis - complications; Thrombosis - diagnosis; Human; Echocardiography; Ultrasonic investigation; Liver; Cardiovascular disease; Hepatobiliary disease; Thrombosis; Peritoneovenous; Cirrhosis; Bypass; Heart disease; Surgery; Portal hypertension; Right heart; Digestive diseases; Complication; Obliteration; Ascites; Two dimensional technique
• ISSN: 0735-1097; 1558-3597
• DOI: 10.1016/S0735-1097(86)80241-8

Peritoneovenous shunts have become an accepted mode of therapy for ascites refractory to medical treatment. However, their use is known to be associated with significant morbidity and mortality. Reported is the case of a patient with a Denver shunt who developed massive intracardiac thrombosis and subsequent shunt malfunction, despite preserved shunt patency.