Hung Cheng-Che, Chuang Hao-Yu, Lin Hung-Lin, Chu Yen-Tse, Cheng Cheng Hsin
Department of Neurosurgery, China Medical University Hospital, China Medical University, Taichung, Taiwan.
Department of Neurosurgery, China Medical University - An Nan Hospital, Tainan City, Taiwan.
J Neurol Surg A Cent Eur Neurosurg. 2017 Jul;78(4):412-416. doi: 10.1055/s-0036-1597904. Epub 2017 Feb 13.
The most common procedure to manage hydrocephalus is a ventriculoperitoneal shunt. Other alternatives include a ventriculoatrial (VA) shunt, ventriculopleural shunt, lumboperitoneal shunt, or ventriculocisternal shunt. The VA shunt is a relatively rare procedure for hydrocephalus. As reported, several complications of VA shunt include obstructions, malposition, shunt infections, endocarditis, heart failure, tricuspid regurgitation, intra-atrial thrombus, and pulmonary hypertension. In this case report and literature review, we discuss a rare case of intramuscular migration of a venous tube 1 year after VA shunt implantation. We also report all the possible locations of migration after placement of VA shunt.
治疗脑积水最常见的手术是脑室腹腔分流术。其他替代方法包括脑室心房（VA）分流术、脑室胸膜分流术、腰腹腔分流术或脑室脑池分流术。VA分流术是一种相对少见的脑积水治疗手术。据报道，VA分流术的几种并发症包括阻塞、位置不当、分流感染、心内膜炎、心力衰竭、三尖瓣反流、心房内血栓和肺动脉高压。在本病例报告和文献综述中，我们讨论了1例VA分流术植入1年后静脉导管肌肉内迁移的罕见病例。我们还报告了VA分流术放置后所有可能的迁移位置。
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