Peritoneovenous shunt for chylous ascites after lung transplantation for lymphangioleiomyomatosis.

@article{Kanou2012PeritoneovenousSF,
  title={Peritoneovenous shunt for chylous ascites after lung transplantation for lymphangioleiomyomatosis.},
  author={Takashi Kanou and Tomoyuki Nakagiri and Masato Minami and Masayasu Inoue and Yasushi Shintani and Meinoshin Okumura},
  journal={Transplantation proceedings},
  year={2012},
  volume={44 5},
  pages={1390-3}
}
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… CONTINUE READING