CSF Hydrothorax as a Late Complication of Ventriculoatrial Shunt Catheter Displacement.

Abstract

ment with chest pain and progressively increasing dyspnoea commencing 1 week previously. His self-history revealed that he had received a ventriculo-atrial shunt at the age of 2 weeks due to congenital hydrocephalus (Figure 1a). At physical examination, no breathing sounds were heard on the right side. Neurological examination was normal. Total blood counts and C-reactive protein (CRP) were within normal limits. Chest Xray showed right-sided hydrothorax and a catheter tip at the right thoracic apex (Figure 1b). The patient was transferred to the neurosurgery department. A consultation was held with the thoracic department. Thoracentesis was performed 3 times in 1 week, but the hydrothorax still persisted (Figure 1c). Subsequent removal of the ventriculo-atrial shunt catheter with disconnection on the scalp was performed. The distal tip of the catheter was left in the vessel. Symptoms improved rapidly. Chest X-ray revealed resolution of pleural effusion and re-expansion of the right lung (Figure 1d, e). Recovery was uneventful and no further thoracentesis or new shunt catheter were required. The patient was discharged 7 days later in good condition. The patient has remained in good clinical condition at the 2-year follow-up, and hydrocephalus has been arrested. We suggest that the shunt catheter may migrate from the intravascular space to the thoracic cavity through the area of entry into the internal jugular vein near the brachiocephalic trunk as a result of age-related upward pull. This was suggested by the catheter position in the right thoracic apex. The absence of bleeding into the thoracic cavity while the catheter tip was being exvasated may be attributed to the process having occurred over an extended period. The vessel wall was therefore repaired during this long period. Complications of ventriculoperitoneal or ventriculo-atrial shunts commonly occur due to obstruction, disconnection or infection (1-3). There are some reports of hydrothorax as a complication of ventriculoperitoneal (V-P) shunting (4). Taub et al. (5) classified V-P shunt thoracic complications into three types: 1) intrathoracic trauma during shunt replacement, 2) peritoneal catheter migration into the thoracic cavity, and 3) pleural effusion with cerebrospinal fluid (CSF) ascites. The peritoneal catheter may migrate into the thoracic cavity in either a supradiaphragmatic or transdiaphragmatic manner. In supradiaphragmatic migration, the peritoneal catheter is accidentally inserted into and out of the pleural cavity during the tunnelling procedure, especially at the supraclavicular fossa, which is the most dangerous area (6, 7). In transdiaphragmatic migration, the peritoneal catheter is gradually pulled into the thoracic cavity due to the negative pressure effect of inspiration. Increased intra-abdominal pressure due to peritoneal malabsorption also facilitates this process (5). The peritoneal catheter may migrate from a pre-existing hiatus into the diaphragm or may perforate it. Congenital hiatuses or weak points in the diaphragm are areas where the peritoneal catheter tip may pass into the thoracic cavity. Local inflammation around the peritoneal catheter tip may also facilitate the passage of the shunt tip through the diaphragm (4, 6). Hydrothorax may sometimes occur in association with CSF ascites. Peritoneal malabsorption leads to excessive CSF collection in the peritoneal cavity. CSF may pass through the thoracic cavity via congenital hiatuses (foramen Bochdalek or foramen of Morgagni) with increased intraabdominal pressure (6). Ventriculo-pleural shunts have only been used infrequently for hydrocephalus. CSF hydrothorax is also one of the serious thoracic complications of ventriculo-pleural shunts (8). In particular, the long-term results are less satisfactory for ventriculo-pleural shunts, because shunt obstruction or pleural effusions are most frequently CSF Hydrothorax as a Late Complication of Ventriculoatrial Shunt Catheter Displacement

DOI: 10.5152/balkanmedj.2014.14398

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Cite this paper

@article{akr2014CSFHA, title={CSF Hydrothorax as a Late Complication of Ventriculoatrial Shunt Catheter Displacement.}, author={Ertuğrul Çakır and Erhan Arslan}, journal={Balkan medical journal}, year={2014}, volume={31 4}, pages={363-5} }