Cardioversion-Responsive Ventriculoatrial Shunt Malfunction Precipitated by Atrial Fibrillation.
作者信息
Kim Wi Jin, Zenonos Georgios, McDowell Michael M, Gardner Paul A, Engh Johnathan A
机构信息
Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA; University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
出版信息
World Neurosurg. 2018 Jun;114:348-351. doi: 10.1016/j.wneu.2018.03.071. Epub 2018 Mar 16.
BACKGROUND
Ventriculoatrial shunts are common alternatives for patients who cannot tolerate ventriculoperitoneal shunts. The majority of ventriculoatrial shunt malfunctions are related to mechanical problems. We report an interesting case of ventriculoatrial shunt malfunction due to elevated central venous pressure from new-onset atrial fibrillation.
METHODS
After the patient was confirmed to have ventriculomegaly, he was taken to the operating room for exploration of his ventriculoatrial shunt; there were no obstructions. Subsequently, the patient was cardioverted to normal sinus rhythm for his new onset atrial fibrillation.
RESULTS
The clinical syndrome and ventriculomegaly both resolved after the patient's atrial fibrillation was corrected with chemical cardioversion.
CONCLUSIONS
The cause of this patient's VA shunt malfunction was likely associated with his new onset atrial fibrillation.
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