Distal ventriculoperitoneal shunt catheter migration to the right ventricle of the heart--a case report

Marc Manix, Anthony Sin, Anil Nanda

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Ventriculoperitoneal shunts (VPS) have few complications other than mechanical obstruction and infection. A VPS catheter located in the chest is a rare complication, while intracardiac catheter migration is rarer still. We present a case of intracardiac migration of a distal VPS catheter after initial documented peritoneal placement. Puncture or erosion of a cervical vein may predispose a patient to such a migration. Negative inspiratory pressure and orthograde blood flow may then draw the catheter proximally through a vein and eventually to the heart or pulmonary artery. We discuss the mechanisms and management of this rare, yet dangerous, complication of a routine neurosurgical procedure.

Original languageEnglish (US)
Pages (from-to)21-25
Number of pages5
JournalThe Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society
Volume166
Issue number1
StatePublished - Jan 1 2014
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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