Peritoneovenous shunt for chylous ascites after lung transplantation for lymphangioleiomyomatosis.
Transplant Proc
; 44(5): 1390-3, 2012 Jun.
Article
in En
| MEDLINE
| ID: mdl-22664021
ABSTRACT
A 37-year-old woman with lymphangioleiomyomatosis (LAM) who underwent right single-lung transplantation from a cadaveric donor developed persistent chylous ascites. Despite use of diuretics and sirolimus to reduce ascites-associated symptoms and to prevent gastroesophageal reflex triggered by increased abdominal pressure, the ascites were refractory, and periodic paracenteses were required. With placement of a peritoneovenous shunt (Denver shunt), the patient's abdominal circumference decreased, and her symptoms abated. Thus, placement of a peritoneovenous shunt can be an effective management strategy for refractory chylous ascites in patients with LAM, even after lung transplantation.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Peritoneovenous Shunt
/
Chylous Ascites
/
Lung Transplantation
/
Lymphangioleiomyomatosis
Type of study:
Etiology_studies
Limits:
Adult
/
Female
/
Humans
Language:
En
Journal:
Transplant Proc
Year:
2012
Document type:
Article
Affiliation country:
Japan