Review Question - QID 108289

A 32-year-old male with history of ongoing alcohol abuse is admitted to the hospital for recurrent shortness of breath and dyspnea. The patient has required weekly paracentesis for recurrent accumulation of ascites. On initial exam, the patient is noted to have yellowing of his sclera and a markedly distended abdomen with shifting dullness to percussion. An esophagogastroduodenscopy performed one month prior demonstrated esophageal and gastric varices. A chest radiograph is shown in Figure A. The patient’s abdomen has the following appearance (Figure B). Which of the following appropriate interventions in this patient would most likely reduce the patient’s recurring symptoms in the short term?