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Vol. 34. Issue 6.
Pages 321-325 (November - December 2023)
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Vol. 34. Issue 6.
Pages 321-325 (November - December 2023)
Case Report
Ventriculoperitoneal shunt migration into the pulmonary artery: Case report and literature review
Catéter de derivación ventrículo-peritoneal migrado a la arteria pulmonar: revisión de la literatura a propósito de un caso
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Marta González-Pombo
Corresponding author
, Juan Alberto Torri, Magdalena Olivares Blanco
Neurosurgery Department, Hospital Universitario Virgen del Rocío, Avenida Manuel Siurot s/n, 41013 Sevilla, Spain
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Table 1. Review of previous cases.
Abstract

Cerebrospinal fluid (CSF) shunt placement is a commonly performed procedure for patients with hydrocephalus of various etiologies.

We present the case of a 68-year-old male patient treated with a ventriculoperitoneal shunt for obstructive hydrocephalus management. Eight years later, a computed tomography (CT) scan detected migration of distal catheter into the pulmonary artery. We conducted a systematic review in Medline database using PubMed search engine to identify previous cases and their management. Our literature review identified eighteen single case reports describing this complication and different strategies to attempt catheter retrieval. To the best authors’ knowledge, this is the first case where conservative management was chosen.

Keywords:
Hydrocephalus
Ventriculoperitoneal shunt
Shunt complications
Pulmonary artery
Abbreviations:
CSF
CT
M
F
SHA
NPH
JV
EJV
IJV
Resumen

Las derivaciones del líquido cefalorraquídeo son un procedimiento quirúrgico frecuente en el manejo de pacientes con hidrocefalia de diversas etiologías.

Presentamos el caso de un paciente varón de 68 años portador de una derivación ventrículo-peritoneal por hidrocefalia obstructiva. Ocho años más tarde se detectó la migración del catéter distal de la derivación hacia la arteria pulmonar en una tomografía computarizada (TC) de tórax. Se ha realizado una revisión sistemática de la literatura en la base de datos MEDLINE utilizando el buscador PubMed para identificar casos descritos de esta complicación y su manejo. Se encontraron 18 casos clínicos que describían esta complicación y diferentes estrategias para intentar recuperar el catéter migrado. Con base en nuestra revisión, el caso descrito es, hasta la fecha, el único en el que se decidió no intentar recuperar el catéter migrado.

Palabras clave:
Hidrocefalia
Derivación ventrículo-peritoneal
Complicaciones
Arteria pulmonar

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