This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Carlos A. Mestres Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Mestres, C. A. Search for Related Content PubMed PubMed Citation Articles by Mestres, C. A. Related Collections Related Article

ICVTS on-line discussion A

Cardiovascular Surgery, Hospital Clinico, University of Barcelona, Barcelona 08036, Spain

Solid intracardiac mass complicating peritoneovenous shunting

eComment: This case report by Michel J. Jurmann et al. [1] from the Deutsches Herzzentrum Berlin is an interesting one as it redraws the attention of the reader to an old problem. In their case a solid intracardiac mass was found 8 years after implantation of a Denver shunt. Histological examination after removal under cardioplegia arrest confirmed calcified fibrosis. This type of complication is obviously not frequent but, as any implantable device, the Denver o LeVeen shunts may become complicated. That was our experience years ago but in our case we found massive right heart thrombosis [2]. Other types of dysfunction may also be evident as that was also our own experience years ago [3].

The underlying message in this brief German report is that peritoneovenous shunting may eventually become the source of problems. Just pay attention to this.

	References

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1. Jurmann MJ, Drews T, Meyer R, Hetzer R. Solid intracardiac mass complicating peritoneovenous shunting. Interact CardioVasc Thorac Surg doi:doi:10.1510/icvts.2006.137125.
2. Mestres CA, de Lacy AM, Pomar JL. Massive right atrial and ventricular thrombosis after peritoneovenous shunting treated by thrombectomy and tricuspid valvulectomy. Ann Thorac Surg 1987; 44:205–206.[Abstract]
3. de Lacy AM, Mestres CA, Pomar JL, Valdecasas JCG, Grande L, Visa J. Malfunction of a peritoneovenous (LeVeen) shunt after tricuspid valvulectomy. World J Surg 1987; 11:555.[Medline]

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Carlos A. Mestres Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Mestres, C. A. Search for Related Content PubMed PubMed Citation Articles by Mestres, C. A. Related Collections Related Article