A successful case of Denver shunt from the right chest cavity to right femoral vein in the patient with right massive pleural effusion
10.2512/jspm.6.301
- VernacularTitle:右胸水貯留に対し胸腔大腿静脈シャントを留置し胸水をコントロールできた症例
- Author:
Toshio Hashimoto
;
Toshiyuki Takahashi
;
Ikuko Nasu
;
Souju Kimura
;
Katsuya Yamaguchi
;
Miho Suzuki
;
Toshiko Endou
;
Akiko Abe
- Publication Type:Journal Article
- Keywords:
fluid collection in chest;
hemodialysis;
Denver shunt;
quality of life;
breast cancer
- From:Palliative Care Research
2010;6(1):301-307
- CountryJapan
- Language:Japanese
-
Abstract:
We experienced a case that right massive pleural effusion was successfully controlled with Denver shunt from the right chest cavity to right femoral vein. A 80-years-old woman had received hemodialysis due to chronic renal failure twice in a week. She was diagnosed as right breast cancer and underwent right breast conserving surgery at December, 2008. In postoperative follow-up duration, she had difficulty in breathing and visited to the emergency room in our hospital. She was diagnosed as respiratory failure due to right massive pleural effusion from the X-ray result and the blood gas analysis. There was no pleural effusion within the left chest space. No malignant cell was detected in the effusion. We thought that diuretics and shunt tube from the right chest cavity to the abdominal cavity would be ineffective because of her chronic renal failure, and for that reason, we placed the shunt tuve from the chest cavity to the right femoral vein. Respiratory failure and the quality of life were successfully improved for about 7 months by using it. Palliat Care Res 2011; 6(1): 301-307
