Document Detail

Old pulmonary embolus of the distal part of a Pudenz low-pressure ventriculoatrial shunt.
MedLine Citation:
PMID:  3728424     Owner:  NLM     Status:  MEDLINE    
At the autopsy of a man, aged 21 years, who had suffered from spastic tetraplegia for 10 years, the distal 25 cm of the Pudenz low-pressure ventriculoatrial shunt was found in the pulmonary artery, partly adherent to and partly covered with intima. The site of the detachment was the connection at the entrance to the facial vein. It is mentioned in the literature that the entrance of the venous system is, indeed, the most common site of detachment. An x-ray film of the chest, taken 3 1/2 years previously, retrospectively disclosed the catheter at the same location as demonstrated at the autopsy, but it had been overlooked at the time. On the non-intima-coated parts of the catheter, fresh thrombotic material was found, and there was cor pulmonale. The cause of detachment may have been the long-standing spastic tension in the neck muscles.
A H Siboni
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of forensic medicine and pathology     Volume:  7     ISSN:  0195-7910     ISO Abbreviation:  Am J Forensic Med Pathol     Publication Date:  1986 Mar 
Date Detail:
Created Date:  1986-08-15     Completed Date:  1986-08-15     Revised Date:  2011-02-02    
Medline Journal Info:
Nlm Unique ID:  8108948     Medline TA:  Am J Forensic Med Pathol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  69-71     Citation Subset:  IM    
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MeSH Terms
Cerebrospinal Fluid Shunts / adverse effects*
Muscle Spasticity / complications
Pneumonia / etiology,  mortality
Pulmonary Artery / pathology
Pulmonary Embolism / complications,  etiology*,  pathology
Quadriplegia / complications

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