Migración de catéter de derivación ventrículo-peritoneal distal a arteria pulmonaruna complicación poco común

  1. Pelayo Hevia-Rodríguez 1
  2. Mikel Armendariz-Guezala 1
  3. José Undabeitia-Huertas 1
  1. 1 Hospital Universitario Donostia. San Sebastián. España
Journal:
Anales del sistema sanitario de Navarra

ISSN: 1137-6627

Year of publication: 2023

Volume: 46

Issue: 2

Pages: 91-100

Type: Article

DOI: 10.23938/ASSN.1046 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Anales del sistema sanitario de Navarra

Sustainable development goals

Abstract

Ventriculoperitoneal shunt placement is a common treatment for hydrocephalus, although not devoid of com-plications. We report a case of a 60-year-old male who underwent ventriculoperitoneal shunt implantation for the treatment of post-traumatic hydrocephalus. Thirteen months post- surgery, after an initial clinical improvement, the patient manifested gait and cognitive disorders. Chest X-rays and computed tomography revealed that the distal shunt cath-eter had migrated into the pulmonary artery. The catheter was removed by reopening the previous retroauricular inci-sion followed by manual traction, without incidents. A new peritoneal catheter was implanted with immediate clinical improvement and no further complications two years after the second surgery. We communicate a rare complication of a standard neurosurgical procedure that can be detected by different healthcare professionals, and review its various forms of presentation and multidisciplinary management strategies from 19 similar clinical cases found in the literature.

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Data source: Dialnet