Abstract
Background An 18 year old female with history of myelomeningocele and hydrocephalus had her ventriculoperitoneal shunt converted to a VA shunt following development of peritonitis at age 11 years. Seven years later she was admitted with abdominal pain. CT revealed a perihepatic abscess and incidental right lower lobe pulmonary embolus (PE). Further investigation revealed a large right cardiac ventricle thrombus. She underwent open thrombectomy and was anticoagulated. Pathologic evaluation of the thrombus demonstrated focal purulent inflammation without identifiable organisms.
Highlights
An 18 year old female with history of myelomeningocele and hydrocephalus had her ventriculoperitoneal shunt converted to a VA shunt following development of peritonitis at age 11 years
There is a paucity of literature regarding the complications and long term management of VA shunts
Reviews suggest the rate of clinically evident pulmonary embolus (PE) and pulmonary hypertension in patients with VA shunts is only 0.4 and 0.3 percent respectively
Summary
An 18 year old female with history of myelomeningocele and hydrocephalus had her ventriculoperitoneal shunt converted to a VA shunt following development of peritonitis at age 11 years. Complications and management of ventriculoatrial (VA) shunts, a case report From 54th Annual Meeting of the Society for Research into Hydrocephalus and Spina Bifida Vancouver, Canada. Background An 18 year old female with history of myelomeningocele and hydrocephalus had her ventriculoperitoneal shunt converted to a VA shunt following development of peritonitis at age 11 years. CT revealed a perihepatic abscess and incidental right lower lobe pulmonary embolus (PE).
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