Intracardiac migration of a ventriculoperitoneal shunt

Here our group presents a rarely encountered case of ventriculoperitoneal shunt migration into the right atrium and ventricle of the heart. Being a large volume neurosurgical center, shunting procedures are commonplace in the operating theater, the vast majority of which are uncomplicated and thus c...

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Autores principales:	Joseph Sahagun, Daniel Vollhaber, Andrew J. Tsung
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Ventriculoperitoneal shunt Intracardiac Misplacement Migration Surgery RD1-811 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/52fd88d8b9024b699ece9e41b9ae1a8c
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id	oai:doaj.org-article:52fd88d8b9024b699ece9e41b9ae1a8c
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spelling	oai:doaj.org-article:52fd88d8b9024b699ece9e41b9ae1a8c2021-11-20T05:06:28ZIntracardiac migration of a ventriculoperitoneal shunt2214-751910.1016/j.inat.2021.101424https://doaj.org/article/52fd88d8b9024b699ece9e41b9ae1a8c2022-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2214751921003364https://doaj.org/toc/2214-7519Here our group presents a rarely encountered case of ventriculoperitoneal shunt migration into the right atrium and ventricle of the heart. Being a large volume neurosurgical center, shunting procedures are commonplace in the operating theater, the vast majority of which are uncomplicated and thus could be considered “routine”. Yet, to date, we have not encountered this phenomenon and thus present this for awareness of the possibility of trans-subclavian cannulation with normal VPS distal terminus confirmation with subsequent migration into the heart. We also propose methods for perioperative workup and intraoperative management of such complications. This is of importance in the neurosurgical management as supra-diaphragmatic terminus of the VPS can occur in diaphragmatic hernia or shunt migration as we describe, the latter requiring removal.Joseph SahagunDaniel VollhaberAndrew J. TsungElsevierarticleVentriculoperitoneal shuntIntracardiacMisplacementMigrationSurgeryRD1-811Neurology. Diseases of the nervous systemRC346-429ENInterdisciplinary Neurosurgery, Vol 27, Iss , Pp 101424- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ventriculoperitoneal shunt Intracardiac Misplacement Migration Surgery RD1-811 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Ventriculoperitoneal shunt Intracardiac Misplacement Migration Surgery RD1-811 Neurology. Diseases of the nervous system RC346-429 Joseph Sahagun Daniel Vollhaber Andrew J. Tsung Intracardiac migration of a ventriculoperitoneal shunt
description	Here our group presents a rarely encountered case of ventriculoperitoneal shunt migration into the right atrium and ventricle of the heart. Being a large volume neurosurgical center, shunting procedures are commonplace in the operating theater, the vast majority of which are uncomplicated and thus could be considered “routine”. Yet, to date, we have not encountered this phenomenon and thus present this for awareness of the possibility of trans-subclavian cannulation with normal VPS distal terminus confirmation with subsequent migration into the heart. We also propose methods for perioperative workup and intraoperative management of such complications. This is of importance in the neurosurgical management as supra-diaphragmatic terminus of the VPS can occur in diaphragmatic hernia or shunt migration as we describe, the latter requiring removal.
format	article
author	Joseph Sahagun Daniel Vollhaber Andrew J. Tsung
author_facet	Joseph Sahagun Daniel Vollhaber Andrew J. Tsung
author_sort	Joseph Sahagun
title	Intracardiac migration of a ventriculoperitoneal shunt
title_short	Intracardiac migration of a ventriculoperitoneal shunt
title_full	Intracardiac migration of a ventriculoperitoneal shunt
title_fullStr	Intracardiac migration of a ventriculoperitoneal shunt
title_full_unstemmed	Intracardiac migration of a ventriculoperitoneal shunt
title_sort	intracardiac migration of a ventriculoperitoneal shunt
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/52fd88d8b9024b699ece9e41b9ae1a8c
work_keys_str_mv	AT josephsahagun intracardiacmigrationofaventriculoperitonealshunt AT danielvollhaber intracardiacmigrationofaventriculoperitonealshunt AT andrewjtsung intracardiacmigrationofaventriculoperitonealshunt
_version_	1718419596792299520

Intracardiac migration of a ventriculoperitoneal shunt

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