Migration of Ventriculoperitoneal Shunt into the Heart. Case Report.

Imamura, Hiroyuki; Nomura, Mutsumi

doi:10.2176/nmc.42.181

Cited by 33 publications

(27 citation statements)

References 17 publications

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“…4) The same mechanism probably occurred in our case, except that the catheter had entered the external jugular vein. The external jugular vein is located near the surface beneath the platysma in the neck, whereas the internal jugular vein runs deep in the carotid triangle.…”

Section: Discussionsupporting

confidence: 67%

“…The entry point was not confirmed during surgery. 4) In contrast to these cases, we clearly determined that the catheter in our patient had penetrated the external jugular vein during revision surgery.…”

Section: Discussionmentioning

confidence: 52%

“…1,3,[7][8][9] Migration to the heart or the pulmonary artery is quite unusual, with only three such cases reported. [4][5][6] We have experienced a fourth such case and identified the entry point of the catheter into the external jugular vein at surgery.…”

Section: Introductionmentioning

confidence: 99%

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Peritoneal Shunt Migration into the Pulmonary Artery. Case Report.

Kubo

Takimoto

Takakura

et al. 2002

Neurol. Med. Chir.(Tokyo)

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A 48-year-old man underwent ventriculoperitoneal shunting for hydrocephalus secondary to subarachnoid hemorrhage due to left vertebral artery dissection, which had been successfully treated by trapping. The peritoneal catheter was correctly positioned via a right upper abdominal incision, and symptoms related to the hydrocephalus disappeared. One month later, the patient began to complain of pain on the right side of the neck. Chest radiography revealed that the peritoneal end of the catheter had migrated into the right pulmonary artery. The catheter route was explored through a small neck incision, and was found to enter the external jugular vein. The catheter was extracted and repositioned into the peritoneum. This type of shunt migration is quite unusual, but could be lethal by causing pulmonary infarction or arrhythmia. The catheter had probably entered the external jugular vein through a perforation caused by the shunt guide during the ventriculoperitoneal shunt operation. Follow-up radiography should be scheduled to detect such a complication.

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Section: Discussionsupporting

confidence: 67%

Section: Discussionmentioning

confidence: 52%

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Peritoneal Shunt Migration into the Pulmonary Artery. Case Report.

Kubo

Takimoto

Takakura

et al. 2002

Neurol. Med. Chir.(Tokyo)

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“…VP shunt complications are classified as mechanical, infective and functional. These mechanical complications are related to distal peritoneal end of VP shunt and include migration into bowel lumen, intrapleural space, heart, urinary bladder, scrotum, umbilicus, inguinal hernia and other regions [4][5][6][7][8]. Cases of extrusion of the distal shunt catheter through healed abdominal incisions have also been reported [9].…”

Section: Discussionmentioning

confidence: 99%

Trans-Anal Extrusion of Ventriculoperitoneal Shunt: An Unusual Complication

Kundal¹,

Kundal²,

Gajdhar³

et al. 2013

JCR

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“…[5][6][7][8][9][10] The intervals between the VP shunt operation and a diagnosis of migration ranged from 18 days to 4 years. The shunt catheter had penetrated the right internal jugular vein in two patients, the right external jugular vein in two, and the remaining two were not described.…”

Section: Discussionmentioning

confidence: 99%

Migration of Distal Ventriculoperitoneal Shunt Catheter into the Pulmonary Artery

Ryugo

Imagawa

Nagashima

et al. 2009

Annals of Vascular Diseases

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hospital during March 2006. The shunt catheter was easily placed subcutaneously by tunneling with an ordinary shunt passer. The abdominal catheter was introduced into the peritoneum via an incision over the right rectus muscle. Postoperative abdominal radiography confirmed that the catheter was correctly positioned (Fig. 1A).Two years after VP shunting, the patient presented with a bulge at the site of the abdominal incision, and a hernia was diagnosed. The patient provided written, informed consent to undergo repair of the incisional hernia and he was thus examined in more detail preoperatively. Chest radiography revealed that the peritoneal end of the catheter had migrated into the right pulmonary artery (Fig. 1B). A CT examination from the neck to the thorax showed the tube passing through the superior vena cava, right atrium and right ventricle, into the main pulmonary artery, and then into the right pulmonary artery ( Fig. 2A and B). After consultation with his original physician regarding removal of the catheter, the patient was transferred to our hospital on November 4, 2008, where he provided written informed consent to the procedure, which was performed on November 7, 2008.Operation: The patient was placed in the supine position and a temporary filter catheter (Toray Medical, Tokyo, Japan) was positioned under general anesthesia from the right femoral vein to the main pulmonary artery using the previous transluminal guide to prevent distal em- A 50-year-old man presented with an abdominal bulge 2 years after receiving a ventriculoperitoneal (VP) shunt for hydrocephalus. Chest radiography revealed that the peritoneal end of the catheter had migrated into the right pulmonary artery. Exploration through a small neck incision revealed that the shunt catheter had entered the internal jugular vein. The catheter was extracted and positioned in the subcutaneous space in preparation for reimplantation. This type of shunt migration is quite unusual, but it could cause lethal pulmonary infarction or arrhythmia. Follow-up radiography should be scheduled to detect such complications. Migration of Distal Ventriculoperitoneal Shunt Catheter into the Pulmonary Artery

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Migration of Ventriculoperitoneal Shunt into the Heart. Case Report.

Cited by 33 publications

References 17 publications

Peritoneal Shunt Migration into the Pulmonary Artery. Case Report.

Peritoneal Shunt Migration into the Pulmonary Artery. Case Report.

Trans-Anal Extrusion of Ventriculoperitoneal Shunt: An Unusual Complication

Migration of Distal Ventriculoperitoneal Shunt Catheter into the Pulmonary Artery

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