Sepsis Caused by Bacterial Colonization of Migrated Distal Ventriculoperitoneal Shunt Catheter into the Pulmonary Artery: A First Case Report and Literature Review

Hajdarpašić, Edin; Džurlić, Almir; Mahmutbegović, Nevena; Zahirović, Salko; Ahmetspahić, Adi; Arnautović, Kenan I.; Omerhodžić, Ibrahim

doi:10.1016/j.wneu.2019.02.176

Cited by 8 publications

(6 citation statements)

References 28 publications

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“…Se incluyeron los casos de migración de catéter de derivación hacia el corazón y/o la vascularización pulmonar, escritos en inglés o español, y se excluyeron las derivaciones ventrículo-auriculares. Se identificaron diecinueve casos clínicos publicados entre 1994 y 2023 que cumplían los criterios de selección, cuyas características y manejo se analizaron 3 , 4 , 6 - 10 , 12 - 23 ( Tabla 1 ).…”

Section: Discussionunclassified

“…En el 21% de los casos la migración del catéter se detectó de forma incidental. En casos más graves puede complicarse por la formación de émbolos pulmonares o sepsis 10 . Nuestro paciente sufrió una regresión a la sintomatología de hidrocefalia previa a la colocación de la derivación, aunque mantenía un buen estado general, sin signos clínicos de sepsis ni hallazgos de embolismo pulmonar en las pruebas de imagen.…”

Section: Discussionunclassified

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Distal ventriculoperitoneal shunt catheter migration into the pulmonary artery: a rare complication

Hevia-Rodríguez,

Armendariz-Guezala,

Undabeitia-Huertas

2023

An Sist Sanit Navar

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RESUMEN La derivación ventrículo-peritoneal es un procedimiento quirúrgico habitual para eliminar el exceso de líquido cefalorraquídeo (hidrocefalia), asociado a distintas complicaciones. Se presenta el caso de un varón de 60 años con hidrocefalia postraumática al que se le implantó una derivación ventrículo-peritoneal. Tras la mejoría clínica inicial, trece meses después desarrolló empeoramiento de la marcha y problemas cognitivos. Las radiografías y tomografía computarizada de tórax mostraron que el catéter distal de la derivación había migrado a la arteria pulmonar. Se extrajo quirúrgicamente el catéter mediante reapertura de la incisión retroauricular previa y tracción manual, sin incidencias. Se implantó un nuevo catéter peritoneal con mejoría clínica inmediata. Dos años después, el paciente permanece asintomático. Este caso ilustra una complicación infrecuente de un procedimiento neuroquirúrgico habitual que puede ser detectada por diferentes profesionales sanitarios; revisamos sus diferentes formas de presentación y estrategias de manejo multidisciplinar a partir de diecinueve casos similares publicados.

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Section: Discussionunclassified

Distal ventriculoperitoneal shunt catheter migration into the pulmonary artery: a rare complication

Hevia-Rodríguez,

Armendariz-Guezala,

Undabeitia-Huertas

2023

An Sist Sanit Navar

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“…VP shunt is a standard neurosurgical procedure for hydrocephalus. The most common complications of VP shunt are bacterial infection and shunt malfunction [ 4 , 5 ]. Although rare, the VP catheter can move in the thoracic, abdominal, and pelvic cavities, causing tethering between the catheter and organs and predisposing to bowel strangulation and intestinal necrosis [ 6 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

The shadow in the darkness: Case report on adhesive intestinal obstruction secondary to ventriculoperitoneal shunt catheter in an elderly patient

Xue

Mranda

Tian

et al. 2022

Annals of Medicine &Amp; Surgery

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“…In these cases, the complication occurs few months after surgery, suggesting that the mechanism could be directly imputed to the VP shunt placement by a direct vein trauma. [ 9 , 11 , 14 ] Some studies also reported the migration of the VP shunt into the heart through the superior cava vein. We found 28 cases.…”

Section: Discussionmentioning

confidence: 99%

Thoracic abscess due to unusual migration of a ventriculoperitoneal shunt and literature review

Sayore

Hemama

Adjiou

et al. 2021

Surgical Neurology International

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Background: Thoracic complications of ventriculoperitoneal (VP) cerebrospinal fluid shunting are rare and the diagnosis is difficult without neurological impairment. Case Description: We report a case of a 36-year-old woman who had a VP shunt in the right side when she was 13 years for a posterior fossa ependymoma and hydrocephalus. 23 years after surgery, she developed acute yellowfish cough and sputum, and the computed tomography scan found an intrathoracic cyst. She had a thoracotomy for the cyst and during surgery, we found the peritoneal catheter of the VP shunt, with a collected abscess in the left side. The patient was treated for the abscess and the VP shunt was removed. We also review the literature cases of thoracic complications after VP shunts. Conclusion: Thoracic abscess due to VP shunt migration is extremely rare and could happen after a long time delay VP shunt surgery.

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Sepsis Caused by Bacterial Colonization of Migrated Distal Ventriculoperitoneal Shunt Catheter into the Pulmonary Artery: A First Case Report and Literature Review

Cited by 8 publications

References 28 publications

Distal ventriculoperitoneal shunt catheter migration into the pulmonary artery: a rare complication

Distal ventriculoperitoneal shunt catheter migration into the pulmonary artery: a rare complication

The shadow in the darkness: Case report on adhesive intestinal obstruction secondary to ventriculoperitoneal shunt catheter in an elderly patient

Thoracic abscess due to unusual migration of a ventriculoperitoneal shunt and literature review

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