We report a case of cardiac tamponade secondary to accumulation of cerebrospinal fluid due to ventriculo atrial derivation vad disfunction. Derivacion ventriculoperitoneal fluido cerebroespinal cirugia. Jul 09, 2019 derivacion ventriculo peritoneal hidrocefalia pdf introduccion. A 30yearold man presented in 1991, with an 18month history of progressive dyspnoea and cough. Reasons, procedures, and outcomes in ventriculoatrial shunts. Va shunt is usually performed when other csf diversion procedure is not feasible, like abdominal infection, poor peritoneal absorption, etc. Pulmonary hypertension and migrated ventriculoatrial shunt. In this singlecenter study, the authors examined the clinical characteristics, risk factors, treatment strategies, and outcomes in patients with thrombosis associated with ventriculoatrial va. Percutaneous insertion has been described with success. Ventriculoatrial definition of ventriculoatrial by.
His past history included a lumbosacral meningomyelocele. Complications of ventriculoatrial shunting for hydrocephalus requiring cardiac operation richard m. A retrospective study was carried out where thirtyseven children with malfunctioning shunts were studied. Summary cardiac tamponade is an uncommon disorder in pediatric patients. The distal catheter is usually inserted into the right atrium through cervical venous dissection. Reasons, procedures, and outcomes in ventriculoatrial. The simplicity and efficacy of the ventriculo peritoneal vp shunt has sent the va shunt to the drawer of last alternatives. The ventriculoatrial va shunt is one of the oldest solutions to the perennial problem of hydrocephalus. Diffuse glomerulonephritis with the nephrotic syndrome was observed in two patients aged 3 years 8 months and 27 years, both of whom had ventriculoatrial shunts. A suture may be tied cautiously around vein and tube, studiously avoiding constriction of the tube e. The shunt consists of a peritoneal tube, a oneway valve, and a tube leading to a large vein, usually the superior vena cava or the jugular vein. The meningomyelocele was repaired at 8 months of age.
Her medical history included recurrent urinary infections as a result of her percutaneous ileourostomy, the last such episode having been a week before, when a sevenday course of ciprofloxacin had been prescribed. Removal of the shunts resulted in marked improvement in the first and complete recovery in. The cerebral shunt can be used to alleviate or prevent these problems in patients who suffer from hydrocephalus or other related diseases. Ventriculoatrial definition of ventriculoatrial by medical. Derivacion ventriculoperitoneal y ventriculoatrial slideshare. Device for percutaneous insertion of a distal catheter in ventriculoatrial shunt. Shunts can come in a variety of forms but most of them consist of a valve housing connected to a catheter, the end of which is usually placed in the peritoneal cavity. Late cardiopulmonary complication of ventriculoatrial shunt. Ventriculoatrial shunting is an alternative option for the diversion of csf and relief of hydrocephalus. Ventriculoatrial shunt placement is indicated for hydrocephalus, which is among the most common conditions encountered in neurosurgical practice. Cardiac tamponade as a complication of ventriculo atrial shunt. Mar 23, 2020 ventriculoatrial shunt placement enables cerebrospinal fluid csf to flow from the cerebral ventricular system to the atrium of the heart. Derivacion ventriculoperitoneal by nancy fraire on prezi. The hydrodynamic properties are discussed, and the effect of protein concentration on the viscosity of the fluid and the characteristics of the shunts has been measured.
Staphylococcal endocarditis with a ventriculoatrial shunt. The hydrodynamic properties are discussed, and the effect of protein concentration on the viscosity of the. Hemorragia intraventricular, hidrocefalia, drenaje ventricular, derivativa ventriculoperitoneal, derivativa ventriculo pleural. Derivacion ventriculoperitoneal fluido cerebroespinal cerebro. He also had an ileocutaneous ureterostomy, bilateral ileopsoas.
Ventriculoatrial shunt definition of ventriculoatrial shunt. It is not the only alternative for the traditional ventriculoperitoneal shunt. Thrombosis associated with ventriculoatrial shunts. Derivacion ventriculoperitoneal y derivacion ventriculoatrial. Tricuspid endocarditis in a patient with ventriculo atrial shunt. Jan 28, 20 the ventriculo atrial va shunt is one of the oldest solutions to the perennial problem of hydrocephalus. Ivon gomez fraire nancy reyna chavez gpe adriana vazquez elizalde pamela etimologicamente hydro. A ventriculoatrial shunt is indicated for the treatment of some hydrocephalus cases. Ventriculo atrial shunt in the management of hydrocephalus. The results are described of in vitro measurements of the pressure. Downstream dislocation of a ventriculoatrial shunt. We use cookies to offer you a better experience, personalize content, tailor advertising, provide social media features, and better understand the use of our services.
The mechanical causes of shunt malfunction included disconnection, fracture and obstruction, while infection was considered as either a clinical or. In this technique, the distal catheter is placed in the right atrium or even in the superior vena cava 1,2. Downstream dislocation of a ventriculo atrial shunt catheter. Trombosis and thrombophlebitis of the internal yugular vein as a very rare complication of the ventriculoatrial shunt. We report a case of cardiac tamponade secondary to accumulation of cerebrospinal fluid due to ventriculoatrial derivation vad disfunction. A ventriculo atrial shunt is indicated for the treatment of some hydrocephalus cases. Ventriculoatrial shunt definition of ventriculoatrial. Ventriculoatrial shunt radiology reference article.
153 1383 171 1266 1048 995 268 31 1099 1315 1531 1098 414 505 1119 468 808 1368 1029 604 55 393 1231 1146 86 1276 1100 874 1162 1484