Lee Chae Bin, Park Jongsoo
J Korean Soc Radiol. 2023 Jul;84(4):934-940. doi: 10.3348/jksr.2022.0046. Epub 2023 Jul 10.
Ventriculoperitoneal shunting is the most common neurosurgical procedure for treatment of hydrocephalus. Shunt-related complications are relatively common and associated with a high rate of shunt revision. However, migration of the distal ventriculoperitoneal shunt, especially into the cardiac and intravascular regions, has rarely been reported. Awareness of this rare but potentially hazardous complication is important owing to its significant morbidity, which can be prevented by prompt management. Here, we introduce a case of a 23-year-old male with migration of the distal shunt catheter through the left internal jugular vein into the cardiac chamber and both pulmonary arteries, which occurred 2 months after receiving ventriculoperitoneal shunting. Furthermore, we discuss the possible mechanisms and management of this condition.
脑室腹腔分流术是治疗脑积水最常见的神经外科手术。分流相关并发症相对常见，且与较高的分流管翻修率相关。然而，远端脑室腹腔分流管移位，尤其是移入心脏和血管区域的情况，鲜有报道。认识到这种罕见但可能具有危险性的并发症很重要，因为其具有显著的发病率，通过及时处理是可以预防的。在此，我们介绍一例23岁男性病例，其远端分流管经左颈内静脉移入心腔和双侧肺动脉，该情况发生在接受脑室腹腔分流术后2个月。此外，我们还讨论了这种情况的可能机制及处理方法。
