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Ann Thorac Surg 1991;51:605-609
© 1991 The Society of Thoracic Surgeons

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Articles

Pleuroperitoneal shunting for intractable pleural effusions

Division of Cardiothoracic Surgery, Department of Surgery, The Hospital of Saint Raphael, New Haven, Connecticut USA

Accepted for publication December 10, 1990.

^_* Address reprint requests to Dr Ponn, 40 Temple St, New Haven, CT 06510.

Pleuroperitoneal shunts were implanted in 17 patients with intractable pleural effusions, 15 of which were malignant and 2 benign. Complicating factors included 13 instances of severe trapped lung and 3 cases of synchronous ascites. There was one hospital death. Palliation of dyspnea at rest was achieved in all patients, although 3 required oxygen with exertion. Four shunts became occluded between 1 and 10 months after placement. Two of these were replaced. The remaining conduits continued to function to the present or until the patients' deaths between 1 and 28 months. Shunting allowed hospital discharge and provided symptomatic relief in a group of patients in whom other approaches had failed or were not applicable.

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