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Related Concept Videos

Ascites01:19

Ascites

DefinitionAscites is the buildup of fluid inside the peritoneal cavity. It occurs when fluid moves out of the vascular system faster than the peritoneal lymphatics can remove it. This fluid shift is most commonly seen in liver cirrhosis but can also appear in several other systemic disorders.EtiologyCirrhosis remains the leading cause of ascites. Other conditions that can contribute include:Heart failureConstrictive pericarditisAbdominal cancersNephrotic syndromeSevere protein–calorie...
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...

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Related Experiment Video

Updated: Jul 13, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
06:29

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

Published on: June 11, 2019

Solid intracardiac mass complicating peritoneovenous shunting.

Michael J Jurmann1, Thorsten Drews, Rudolf Meyer

  • 1Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum Berlin, Augustenburger Platz 1, 13353, Berlin, Germany. jurmann@dhzb.de

Interactive Cardiovascular and Thoracic Surgery
|August 3, 2007
PubMed
Summary

A Denver shunt in a liver cirrhosis patient developed an intracardiac mass, likely calcified fibrosis. Surgical removal and shunt revision were performed, but transjugular intrahepatic portosystemic shunt (TIPS) was later needed for ascites control.

Related Experiment Videos

Last Updated: Jul 13, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
06:29

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

Published on: June 11, 2019

Area of Science:

  • Cardiology
  • Gastroenterology
  • Medical Devices

Background:

  • Liver cirrhosis and esophageal varices often lead to ascites.
  • Peritoneovenous shunts, such as the Denver shunt, are used to manage refractory ascites.
  • Complications can arise from indwelling shunts, including intracardiac mass formation.

Purpose of the Study:

  • To describe a case of intracardiac mass formation at the tip of a Denver shunt.
  • To detail the surgical management of the intracardiac mass and shunt revision.
  • To evaluate the long-term efficacy of shunt management in a patient with liver cirrhosis.

Main Methods:

  • Surgical exploration of the right atrium for mass resection.
  • Histopathological examination of the resected intracardiac mass.
  • Placement of a transjugular intrahepatic portosystemic shunt (TIPS) for persistent ascites.

Main Results:

  • A large, solid intracardiac mass extending across the tricuspid valve was identified at the Denver shunt tip.
  • Histopathology revealed calcified fibrosis with hyalinized collagen fibers.
  • Initial shunt revision was insufficient, necessitating subsequent TIPS placement for effective ascites management.

Conclusions:

  • Intracardiac mass formation is a potential complication of Denver shunts.
  • Surgical intervention may be required for shunt obstruction.
  • Transjugular intrahepatic portosystemic shunt (TIPS) offers an alternative for managing refractory ascites in liver cirrhosis patients when shunts fail.