Pericardial effusion and cardiac tamponade after ventriculoperitoneal shunt placement: a case report

Wiwattanadittakul, Natrujee; Katanyuwong, Kamornwan; Jetjumnong, Chumpon; Sittiwangkul, Rekwan; Makonkawkeyoon, Krit

doi:10.1007/s00701-016-2905-2

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…In the study of Wiwattanadittakul et al the occurrence of cardiac tamponade and pericardial effusion was also reported due to the discharge of VP secretions into the mediastinal cavity following the migration of VP shunts into the heart cavity, which reduced pulse pressure and instability of vital signs and finally, the patient’s condition was stabilized by pericardiocentesis and catheter removal. 10 In a similar study, Karakurt et al reported the occurrence of cardiac tamponade and pericardial effusion following the migration of the VP shunt into the pericardial space, which was resolved by pericardiotomy and repositioning of the shunt catheter in the abdominal space after shortening. 11 …”

Section: Discussionmentioning

confidence: 91%

Upward spontaneous migration of ventriculoperitoneal shunt into the heart: A case report summary

Ghaffari

Hashemzadeh

Samadi

et al. 2022

J Cardiovasc Thorac Res

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A male infant with a history of ventriculoperitoneal (VP) implantation due to congenital hydrocephalus presented with fever and lethargy at the age of 8 month-old. Pericardial effusion was detected in transthoracic echocardiography, and he underwent pericardial window operation and was discharged in a stable condition. At 11 months of age, he presented again with fever, lethargy, recurrent vomiting, and respiratory distress. In both plain chest radiography and transthoracic echocardiography, VP shunt migration to the heart cavity was observed. The VP shunt had entered into the right ventricle after perforating the diaphragm and pericardium. The patient underwent open-heart surgery due to vegetation at the tip of the VP shunt inside the right heart. Vegetation was removed and the tip of the shunt was returned to the peritoneal cavity. Two weeks after discharge, the patient presented again with symptoms of tachypnea and lethargy. The imaging revealed the entry of the VP shunt about two centimeters into the anterior mediastinum. The patient was transferred to the operation room and the VP shunt was shortened and re-inserted into the peritoneal cavity. Antibiotic treatment was continued for six weeks and the patient was discharged in stable condition. In follow-up visits after two years, the VP shunt functioned well and no particular complication was observed. This case demonstrates that in patients with VP shunt implantation presenting with pulmonary and cardiac symptoms such as respiratory distress, pericardial effusion, and cardiac tamponade after VP shunt implantation, the possibility of VP shunt catheter migration to the mediastinal cavity should be considered.

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Section: Discussionmentioning

confidence: 91%

Upward spontaneous migration of ventriculoperitoneal shunt into the heart: A case report summary

Ghaffari

Hashemzadeh

Samadi

et al. 2022

J Cardiovasc Thorac Res

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“…It is also possible for shunt components to extrude through the skin, particularly after multiple operations, migrate, or perforate into different cavities or viscera. 1) 4) 6) 9) Iatrogenic pneumothorax after a VPS surgery and jugular vein injury during the tunneling process has also been reported. 2) 7) 8) However, to our knowledge, intraoperative common carotid artery injury, during VPS surgery, has not been reported.…”

Section: Discussionmentioning

confidence: 97%

Intraoperative Common Carotid Artery Injury during Ventriculoperitoneal Shunt Surgery

Kwon

Jung

Sohn

et al. 2017

J Cerebrovasc Endovasc Neurosurg

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Cerebrospinal Fluid Leakage from Scrotum Secondary to Ventriculoperitoneal Shunt Migration

et al. 2023

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Ventriculoperitoneal (VP) shunts are a common neurosurgical procedure used to treat hydrocephalus. Despite their efficacy, many shunts fail and require revisions. The most common causes of shunt failure include obstruction, infection, migration, and perforation. Extraperitoneal migrations require urgent attention. We present a case of migration to the scrotum, a unique complication that may be present in young patients due to the presence of a patent processus vaginalis. Here, we discuss a case of a 16-month-old male patient with a VP shunt presenting with cerebrospinal fluid (CSF) drainage from his scrotum after an indirect hernia repair. This case represents an important reminder for physicians about the sequelae associated with VP shunt complications, particularly extraperitoneal migration, and brings awareness to the underlying factors that may increase this risk.

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Pericardial effusion and cardiac tamponade after ventriculoperitoneal shunt placement: a case report

Cited by 3 publications

References 7 publications

Upward spontaneous migration of ventriculoperitoneal shunt into the heart: A case report summary

Upward spontaneous migration of ventriculoperitoneal shunt into the heart: A case report summary

Intraoperative Common Carotid Artery Injury during Ventriculoperitoneal Shunt Surgery

Cerebrospinal Fluid Leakage from Scrotum Secondary to Ventriculoperitoneal Shunt Migration

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