An unusual complication of the le veen shunt: A right atrial ventricular chamber pseudotumor

We report the case of a right atrial‐ventricular chamber thrombus discovered four years after insertion of a Le Veen shunt for treatment of refractory ascites. A two‐dimensional echocardiogram, performed after the discovery of an isolated systolic murmur, demonstrated a ‘tumorlike’ mass seated in both the right atrium and the right ventricle. The mass was surgically removed and histologic examination confirmed that it was a thrombu developed at the tip of the catheter. We propose that two dimensional echocardiography should be performed periodically for the survey of such intracardiac devices.