Intracardiac migration of a distal shunt catheter: An unusual complication of ventricular shunts - Report of 2 cases

Elias Rizk, Mark S. Dias, Joel Verbrugge, Frederick A. Boop

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

Unusual complications of peritoneal shunts are a well-known occurrence. The authors present 2 cases of intracardiac migration of a distal shunt catheter, summarizing the diagnosis and management of each case. This complication seems to be a rare occurrence; the transgression of the jugular vein leading to intracardiac migration of a shunt catheter has been reported only 6 times previously. The authors highlight the importance of careful and proper placement of the distal peritoneal catheter during the tunneling process, in particular avoiding too deep a penetration of the shunt passer into the neck tissues and too medial a shunt passage near the sternal notch to avoid vascular structures.

Original languageEnglish (US)
Pages (from-to)525-528
Number of pages4
JournalJournal of Neurosurgery: Pediatrics
Volume3
Issue number6
DOIs
StatePublished - Jun 2009

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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