Ventriculoperitoneal shunt migration into the pulmonary artery

Case contributed by Dr C.Igler

Presentation

Routine follow-up after treatment with a ventriculoperitoneal shunt 16 months ago.

Patient Data

Age: 64-year-old
Gender: Male
X-ray

Chest and Abdomen X-ray

The initial X-rays show correct intrabdominal position of the VPS post-surgery.

X-ray

Chest and Abdomen X-ray (16 months later)

Migration of a ventriculoperitoneal shunt (VPS) into both pulmonary arteries within 16 months.

The CTPA shows the catheter in both pulmonary arteries, without any thrombosis.

Case Discussion

The migration of a VPS into both trunks of the pulmonary artery is a very rare complication.

The cause for the catheter migration was a penetration of the right subclavian vein, during the initial shunt placement.

Subsequent venous flow and negative intrathoracic pressure leads to the migration of the catheter.

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Case information

rID: 41385
Case created: 29th Nov 2015
Last edited: 30th Nov 2015
Inclusion in quiz mode: Included

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