Pleural effusion in a child with a ventriculoperitoneal shunt and congenital heart disease
| Autor: | Rohit Loomba, Anne E. Matthews, Santiago Encalada, Theresa A. Mikhailov, Jennifer Pfister, Jennifer Henningfeld, Kristin Magner, Andrew B. Foy |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Pleural effusion Ventriculoatrial medicine.medical_treatment Shunt 03 medical and health sciences 0302 clinical medicine Ascites medicine Extracorporeal membrane oxygenation Effusion Congenital heart disease Tetralogy of Fallot Multidisciplinary Case Study Thoracic cavity business.industry medicine.disease Surgery Hydrocephalus Intraventricular hemorrhage medicine.anatomical_structure 030228 respiratory system Ventriculoperitoneal medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | SpringerPlus |
| ISSN: | 2193-1801 |
| Popis: | We present the unique case of an 8 month old infant who required extracorporeal membrane oxygenation (ECMO) after neonatal repair of tetralogy of Fallot. While on ECMO, he developed grade 3 intraventricular hemorrhage resulting in hydrocephalus requiring ventriculoperitoneal (VP) shunt placement at 5 months of life. He presented to cardiology clinic with a 2-month history of poor weight gain, tachypnea, and grunting and was found to have a large right sided pleural effusion. This was proven to be cerebrospinal fluid (CSF) accumulation secondary to poor peritoneal absorption with subsequent extravasation of CSF into the thoracic cavity via a diaphragmatic defect. After diaphragm repair, worsening ascites from peritoneal malabsorption led to shunt externalization and ultimate conversion to a ventriculoatrial (VA) shunt. This is the second reported case of VA shunt placement in a child with congenital heart disease and highlights the need to consider CSF extravasation as the cause of pleural effusions in children with VP shunts. |
| Databáze: | OpenAIRE |
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