Document Detail

A rare but life-threatening complication of ventriculo-atrial shunt.
MedLine Citation:
PMID:  16172832     Owner:  NLM     Status:  MEDLINE    
Insertion of ventriculoperitoneal and ventriculoatrial shunts is routinely performed. Infarction pneumonia and atrial thrombus formation are described as very rare complications of ventriculoatrial shunts. We present the case of a female patient with ventriculoatrial shunt insertion as long term treatment for aequeductal stenosis who presented with recurrent episodes of dyspnoea, chest pain, and unilateral pleural effusion. Diagnostic evaluation revealed a positive D-dimer test, bilateral basal infiltrates and pleural effusion. Transesophageal echocardiography established the diagnosis of a thrombus in the right atrium. Laboratory testing for thrombophilia revealed a homozygous factor V Leiden mutation. In the following, a shunt revision was performed.
P Tonn; J M Gilsbach; I Kreitschmann-Andermahr; A Franke; R Blindt
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2005-09-19
Journal Detail:
Title:  Acta neurochirurgica     Volume:  147     ISSN:  0001-6268     ISO Abbreviation:  Acta Neurochir (Wien)     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2005-12-05     Completed Date:  2006-04-19     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0151000     Medline TA:  Acta Neurochir (Wien)     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  1303-4     Citation Subset:  IM    
Department of Emergency Psychiatry, Clinic North, Hamburg, Germany.
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MeSH Terms
Cerebral Aqueduct / pathology,  physiopathology
Cerebrospinal Fluid Shunts / adverse effects*
Dyspnea / diagnosis,  etiology,  physiopathology
Factor V / genetics
Genetic Predisposition to Disease
Heart Atria / pathology,  physiopathology*
Heart Failure / diagnosis,  etiology*,  physiopathology
Hydrocephalus / surgery
Pleural Effusion / diagnosis,  etiology,  physiopathology
Thrombophilia / genetics
Thrombosis / etiology*,  physiopathology,  ultrasonography
Reg. No./Substance:
0/factor V Leiden; 9001-24-5/Factor V

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