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Ann Thorac Surg 1997;63:1777-1779
© 1997 The Society of Thoracic Surgeons

Case Report

Treatment of Refractory, Nonmalignant Hydrothorax With a Pleurovenous Shunt

Saung Z. Park, MD, Joseph B. Shrager, MD, Mark S. Allen, MD, David M. Nagorney, MD

Divisions of General and Thoracic Surgery, Mayo Clinic and Mayo Foundation, Rochester, Minnesota

Accepted for publication January 22, 1997.

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.




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