A Rare Case of Delayed Ventriculoperitoneal Shunt Catheter Migration Into the Heart: A Case Report.
Min Geun GilWon Hee LeeJin LeeHae Woong JeongKeun Soo LeeSung Hwa PaengSe Young PyoPublished in: Korean journal of neurotrauma (2024)
The treatment of hydrocephalus with a ventriculoperitoneal (VP) shunt can lead to complications such as shunt migration. A 67-year-old male, who had previously undergone VP shunt surgery for normal-pressure hydrocephalus, presented approximately five years later with symptoms of general weakness and abdominal pain. Imaging revealed shunt malpositioning, with the catheter passing through an abnormal route to the heart. The catheter was successfully removed under fluoroscopic guidance while monitoring patient's electrocardiogram to prevent potential secondary complications. Although rare, cardiac migration of VP shunts can lead to life-threatening secondary complications. Our case highlights the possibility of delayed upward migration of the shunt catheter in patients with VP shunts, emphasizing the need for various strategies to address and manage this issue.
Keyphrases
- pulmonary artery
- rare case
- heart failure
- ultrasound guided
- risk factors
- coronary artery
- abdominal pain
- pulmonary hypertension
- minimally invasive
- pulmonary arterial hypertension
- disease virus
- high resolution
- subarachnoid hemorrhage
- atrial fibrillation
- physical activity
- coronary artery bypass
- case report
- climate change
- single cell
- percutaneous coronary intervention
- risk assessment
- depressive symptoms
- sleep quality