Document Detail

Intracardiac migration of the distal catheter of ventriculoperitoneal shunt: a case report.
MedLine Citation:
PMID:  20013281     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Migration of the distal catheter into the heart is an extremely rare complication of ventriculoperitoneal shunt, with only 11 cases reported in literature; in only four of them, there was also the migration into the pulmonary artery. The authors report the case of a young patient with this rare complication that was managed simply converting the ventriculoperitoneal shunt into a ventriculoatrial shunt.
DISCUSSION: The migration of the distal catheter occurred through the internal jugular vein probably as the consequence of direct damage of the vessel during tunneling. Venous flow and negative intrathoracic pressure may have gradually pulled the catheter up into the heart; the upward migration may also be encouraged by the continuous movements of the patient that was agitated in the postoperative period as the consequence of her psychiatric disorder. The authors review the literature regarding migration of distal tubing into the heart and pulmonary artery. Diagnosis and management of this complication is discussed.
Claudio Ruggiero; Pietro Spennato; Danilo De Paulis; Fernando Aliberti; Giuseppe Cinalli
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-12-16
Journal Detail:
Title:  Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery     Volume:  26     ISSN:  1433-0350     ISO Abbreviation:  Childs Nerv Syst     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-06-09     Completed Date:  2010-09-08     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  8503227     Medline TA:  Childs Nerv Syst     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  957-62     Citation Subset:  IM    
Department of Neurosurgery, Santobono-Pausilipon Pediatric Hospital, Via Mario Fiore, Naples, Italy.
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MeSH Terms
Catheterization / adverse effects*
Foreign-Body Migration / radiography,  surgery*
Heart Diseases / etiology*,  radiography
Jugular Veins / pathology
Magnetic Resonance Imaging
Peritoneal Cavity / radiography
Pulmonary Artery / radiography
Tomography, X-Ray Computed
Ventriculoperitoneal Shunt / adverse effects*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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