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Indwelling Pleural Catheter in Recurrent Pleural Effusion Due To Congestive Heart Failure: A Case Report
Sari
Pleural effusion commonly appears in congestive heart failure (CHF), caused by raised pulmonary capillary pressure and impaired lymphatic drainage, often resulting in respiratory distress and reduced quality of life. This case report presents the use of an indwelling pleural catheter (IPC) for recurrent pleural effusion in CHF unresponsive to standard therapy. A 42-year-old man with acute decompensated CHF and bilateral pleural effusions presented with worsened dyspnea. Initial thoracentesis and diuretic therapy failed to resolve the effusion, leading to IPC placement for ongoing drainage. IPC insertion resulted in marked symptom improvement, effective fluid management, and shorter hospital stay. The patient was able to continue outpatient care and experienced no major complications. This case demonstrates that IPCs can provide safe and effective symptom control in CHF-related pleural effusions when conventional treatment is inadequate. Individualized strategies, including the use of IPC, may enhance quality of life and reduce hospitalizations in patients with effusions caused by heart failure.
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Aboudara, M & Maldonado, F (2019). Indwelling pleural catheters for benign pleural effusions: what is the evidence? Curr Opin Pulm Med. 25(4):369-373. doi:10.1097/MCP.0000000000000574.
Ajmani, G, Ravikumar, N & Wagh, A (2023). Management strategies for recurrent pleural effusion: a clinical practice review. AME Medical Journal. 8:35. doi:10.21037/amj-23-107.
Chalhoub, M, Saqib, A & Castellano, M (2018). Indwelling pleural catheters: complications and management strategies. J Thorac Dis. 10(7):4659-4666. doi:10.21037/jtd.2018.04.160. PMID: 30174919; PMCID: PMC6105989.
D'Agostino, HP & Edens, MA (2023). Physiology, Pleural Fluid. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from:
https://www.ncbi.nlm.nih.gov/books/NBK513353/
Elkins, MR (2025). Physiotherapy management of pleural effusion. Journal of Physiotherapy. 71(3):152-157. doi:10.1016/j.jphys.2025.06.009.
Ferreiro, L, Toubes, ME, Suárez-Antelo, J, Rodríguez-Núñez, N & Valdés, L (2024). Clinical overview of the physiology and pathophysiology of pleural fluid movement: a narrative review. ERJ Open Res. 10(5):00050-2024. doi:10.1183/23120541.00050-2024. PMID: 39351376; PMCID: PMC11440405.
Frost, N, Ruwwe-Glösenkamp, C, Raspe, M, Brünger, M, Temmesfeld-Wollbrück, B, Suttorp, N, et al. (2020). Indwelling pleural catheters for non-malignant pleural effusions: report on a single centre's 10 years of experience. BMJ Open Respir Res. 7(1):e000501. doi:10.1136/bmjresp-2019-000501. PMID: 31958272; PMCID:
PMC7011895.
Kataoka, H (2021). Chloride in Heart failure syndrome: Its pathophysiologic role and therapeutic implication. Cardiol Ther. 10(2):407-428. doi:10.1007/s40119-021-00238-2. Epub 2021 Aug 14. PMID: 34398440; PMCID: PMC8555043.
Korczyński, P, Górska, K, Konopka, D, Al-Haj, D, Filipiak, KJ & Krenke, R (2020). Significance of congestive heart failure as a cause of pleural effusion: Pilot data from a large multidisciplinary teaching hospital. Cardiol J. 27(3):254-261. doi:10.5603/CJ.a2018.0137. Epub 2018
Nov 8. PMID: 30406935; PMCID: PMC8015984.
Krishna, R, Antoine, MH, Alahmadi, MH & Rudrappa, M (2024). Pleural Effusion. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448189/
Malek, R & Soufi, S (2023). Pulmonary Edema. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557611/
Matta, A (2023). Indwelling pleural catheters for benign pleural effusions: a concise review. Curr Opin Pulm Med. 29(1):37-42. doi:10.1097/MCP.0000000000000926. Epub 2022 Nov 7. PMID: 36336912.
Nicholson, MJ, Manley, C & Ahmad, D (2023). Thoracentesis for the Diagnosis and Management of Pleural Effusions: The Current State of a Centuries-Old Procedure. Journal of Respiration. 3(4):208-222. doi:10.3390/jor3040020.
Pirrotta, F, Mazza, B, Gennari, L & Palazzuoli, A (2021). Pulmonary Congestion Assessment in Heart Failure: Traditional and New Tools. Diagnostics (Basel). 11(8):1306. doi:10.3390/diagnostics11081306. PMID: 34441241; PMCID: PMC8394474.
Potechin, R, Amjadi, K & Srour, N (2015). Indwelling pleural catheters for pleural effusions associated with end-stage renal disease: a case series. Therapeutic Advances in Respiratory Disease. 9(1):22-27. doi:10.1177/1753465814565353.
Rajendran, SS, Ashokan, V & Narashimhan, RA (2022). Review article on indwelling pleural catheter. Journal of Pulmonologist of Tamil Nadu. 5(2):71-76. doi:10.4103/japt.japt_22_22.
Shams, P, Malik, A & Chhabra, L (2025). Heart failure (Congestive Heart Failure). In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/sites/books/NBK430873/
Sidhu, C, Davies, HE, Muruganandan, S, Lui, MMS, Lau, EPM & Lee, YCG (2023). Indwelling pleural catheter: Management of complications. Semin Respir Crit Care Med. 44(4):454-461. doi:10.1055/s-0043-1769093. Epub 2023 May 31. PMID: 37257836.
Thøgersen, A, Kristiansen, B, Løkke, A, Hilberg, O & Borg, M (2025). Indwelling peritoneal and pleural catheters in the management of malignant and non-malignant ascites and pleural effusion: experiences from a Danish tertiary center. Eur Clin Respir J. 12(1):2529053. doi:10.1080/20018525.2025.2529053. PMID: 40709012; PMCID: PMC12288166.
Wakaki, T, Ishibashi, N & Yamao, H (2021). Increased left ventricular end-diastolic pressure after left ventriculography is associated with subsequent congestive heart failure-related hospitalization. Int J Cardiovasc Acad. 7(1):14-20. doi:10.4103/ijca.ijca_56_20.
Wijayaratne, T, Yousuf, A & Panchal, R (2024). Cardiac-related pleural effusions: a narrative review. J Thorac Dis. 16(2):1674-1686. doi:10.21037/jtd-23-1731. Epub 2024 Feb 27. PMID: 38505011; PMCID: PMC10944777.
Yao, X, Abd Hamid, M, Sundaralingam, A, Evans, A, Karthikappallil, R, Dong, T, et al. (2020). Clinical perspective and practices on pleural effusions in chronic systemic inflammatory diseases. Breathe (Sheff). 16(4):200203. doi:10.1183/20734735.0203-2020. PMID: 33447289; PMCID: PMC7792825.
DOI: https://doi.org/10.33024/jikk.v12i9.20318
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