Intracardiac migration and knotting of a ventriculoperitoneal shunt

Delayed peritoneal shunt catheter migration into the pulmonary artery with indolent thrombosis: A case report and narrative review

“…e interventional team was consulted, who stated that an endovascular approach for retrieval would not be feasible. It was soon made evident that the retained catheter could only be removed through an open-chest [26] 8, M 2002 [15] 76, M 2002 [21] 48, M Fewel and Garton, 2004 [7] 16, M [32] 6, F 2012 [38] 72, M 2012 [39] 63, M 2014 [25] 34, M 8 months Headache N Frahm-Jensen et al, 2015 [9] Lyon et al, 2016 [24] 71, M [27] 49, F and Shetty, 2019 [22] 61, F approach. After further discussions regarding the risks of abandoning the retained shunt catheter in the pulmonary vasculature, the patient was placed onto extracorporeal circulation and remained in the ICU for 48 h on therapeutic anticoagulation with IV heparin.…”

“…To the best of our knowledge, only 24 cases with SCMPA have been previously reported [Table 1]. [3,5,8,9,13,[22][23][24][25]27,32,39] We present the first case of an asymptomatic pediatric patient with SCMPA, further complicated by extensive knotting and indolent arterial thrombosis. is complication necessitated removal of the retained catheter through open-heart surgery, given our inability to retract the system after repeated manipulation using less invasive techniques.…”

Cerebrospinal fluid hydrocele caused by scrotal migration of a ventriculoperitoneal shunt

“…The migration of VPS into the scrotum is rare and has also been reported in the literature 2 3. The other rare complications by VPS include pneumonia caused by trans-diaphragmatic erosion, CSF leakage in the neck, migration into the pulmonary vasculature, per oral extrusion, gastric perforation, colonic perforation,4 fistulisation through the umbilicus, intracardiac migration,5 urinary bladder perforation,6 intestinal perforation and liver perforation.…”

Case report of migration of 2 ventriculoperitoneal shunt catheters to the scrotum: Use of an inguinal incision for retrieval, diagnostic laparoscopy and hernia repair

“…A handful of case reports have reported migration to the scrotum. [2], [3], [4], [5], [6], [7], [8], [9], [10], [11], [12], [13], [14] Other complications of shunt migration have included: colonic perforation [15], shunt abandoned in the pelvis [16], fistulization to the umbilicus [17], intracardiac migration and knotting [18], peroral extrusion [19], gastric perforation [20], bladder perforation [21], CSF leakage in the neck [22], pulmonary vasculature migration [23], breast migration with CSF galactorrhea [24], intestinal perforation [25], pneumonia caused by transdiaphragmatic erosion [26] and liver perforation [27].…”