September 1983

Right-Sided Endocarditis Complicating Peritoneovenous Shunting for Ascites

Author Affiliations

From the Unité de Recherches de Physiopathologie Hépatique (INSERM) and the Service d'Anatomie et de Cytologie Pathologiques, Hôpital Beaujon, Clichy, France.

Arch Intern Med. 1983;143(9):1801-1802. doi:10.1001/archinte.1983.00350090183034

• We describe two patients with alcoholic cirrhosis in whom staphylococcal right-sided endocarditis developed after insertion of a peritoneovenous shunt (PVS). Massive pulmonary embolism caused early death in one patient. In the other patient, staphylococcal septicemia was cured after shunt removal and antibiotic treatment; recurrent endocarditis due to Corynebacterium xerosis ultimately caused the patient's death. No clinical manifestation of tricuspid valve dysfunction was noted in either patient, and right-sided endocarditis was recognized only at autopsy. The protracted contact of the tip of the venous line of PVS with the atrial wall is likely to be a major factor in the development of right-sided endocarditis in these patients.

(Arch Intern Med 1983;143:1801-1802)