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January 11, 1980

LeVeen Shunt Dislodgement

Author Affiliations

From the Department of Medicine, The Thomas Jefferson University Hospital, Philadelphia.

JAMA. 1980;243(2):149-150. doi:10.1001/jama.1980.03300280047029

SINCE its introduction as a treatment for ascites in 1974, the LeVeen peritoneovenous shunt has seen expanded use in certain medical centers. Preliminary results generally have been favorable,1-4 although unsatisfactory outcomes are reported.3,5,6 Many are encouraged by the often quick, readily quantifiable results obtained with this device in conditions whose traditional medical treatment may imply prolonged hospitalization and many times results in only temporary improvement. The peritoneovenous shunt is now increasingly being recommended for all patients who either do not respond to medical therapy with a prompt loss of their ascites or who are difficult to treat medically.7

Report of a Case  This was the second Thomas Jefferson University Hospital (Philadelphia) admission for a 65-year-old male chronic alcoholic whose chief complaints were dyspnea and increasing abdominal girth. The patient had been well until Oct 3, 1977, when he came to the Jefferson Accident Ward with a new onset