Document MG1M3LBN4eK163O7YrrYjd6va

Page 964 1 Q That was all because of the fluid buildup 2 and to relieve the pressure and the discomfort; is 3 that correct? 4 A That is correct. 5 Q Now, Doctor, in addition to the drainage of 6 the fluid, at some time did you decide to try another 7 procedure on Mr. Vandergucht to relieve the discomfort 8 he was experiencing? 9 A In September of 1981, he was referred to 10 Johns Hopkins Hospital to Dr. Hoover to place a LeVeen 11 shunt. 12 Q I am sorry. Could you give me that name 13 again? 14 A He placed a LeVeen shunt which is a 15 procedure that involves connecting the fluid in the 16 abdominal cavity via a plastic catheter that is then 17 run under the skin of the chest and into a large vein 18 up under the collarbone or in the neck so this fluid 19 could drain from the abdominal cavity back into the 20 general circulation and hopefully out through the 21 urinary tract and urinate it away.