HANAN GUR, M.D.; MEIR SHALIT, M.D.; DANIEL SHOUVAL, M.D.
To the editor: The peritoneovenous LeVeen shunt is an effective procedure for treatment of intractable ascites (1). However, fluid volume overload and pulmonary edema, bleeding from esophageal varices, disseminated intravascular coagulation, septicemia and possible shunt occlusion have been reported after the shunt (1-3). We have recently seen an unusual complication after the successful placement of a peritoneovenous shunt.
A 52-year-old man had alcoholic cirrhosis of the liver complicated by portal hypertension and intractable ascites. His history did not include any symptoms or signs of rheumatic or ischemic heart disease. Physical examination showed a mild blowing apical systolic murmur (grade 2).
GUR H, SHALIT M, SHOUVAL D. Aortic Insufficiency Unmasked by a Peritoneovenous Shunt. Ann Intern Med. ;99:129. doi: 10.7326/0003-4819-99-1-129_1
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Published: Ann Intern Med. 1983;99(1):129.
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