| Autor: |
Manix M; Louisiana State University Health Sciences Center-Shreveport's Department of Neurosurgery., Sin A; Louisiana State University Health Sciences Center-Shreveport's Department of Neurosurgery., Nanda A; Louisiana State University Health Sciences Center-Shreveport's Department of Neurosurgery. |
| Jazyk: |
angličtina |
| Zdroj: |
The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society [J La State Med Soc] 2014 Jan-Feb; Vol. 166 (1), pp. 21-5. Date of Electronic Publication: 2014 Feb 10. |
| Abstrakt: |
Ventriculoperitoneal shunts (VPS) have few complications other than mechanical obstruction and infection. A VPS catheter located in the chest is a rare complication, while intracardiac catheter migration is rarer still. We present a case of intracardiac migration of a distal VPS catheter after initial documented peritoneal placement. Puncture or erosion of a cervical vein may predispose a patient to such a migration. Negative inspiratory pressure and orthograde blood flow may then draw the catheter proximally through a vein and eventually to the heart or pulmonary artery. We discuss the mechanisms and management of this rare, yet dangerous, complication of a routine neurosurgical procedure. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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