Pulmonary Infarction due to Embolized Ventriculoperitoneal Shunt Catheter in a Pediatric Patient: A Case Report

Authors

  • Fregenet Gichamo Department of Diagnostic Radiology, University of California San Diego Health, USA
  • Victoria D Vuong Department of Diagnostic Radiology, University of California San Diego Health, USA, Division of Interventional Radiology, Department of Radiology, University of San Diego Health, USA
  • John Naheedy Department of Diagnostic Radiology, University of California San Diego Health, USA, Department of Pediatric Radiology, Rady Children’s Hospital, USA

DOI:

https://doi.org/10.3941/jrcr.5329

Abstract

Cerebrospinal fluid diversion serves as the primary therapeutic approach for managing hydrocephalus. Among the surgical interventions available, ventriculoperitoneal shunt placement is the preferred method. Occasionally, these procedures can result in complications, such as catheter migration to unexpected locations. This case illustrates a unique complication involving the migration of a ventriculoperitoneal shunt catheter into the pulmonary artery resulting in pulmonary embolism and infarction in a young adult patient, necessitating immediate catheter retrieval. Furthermore, the possible mechanisms of migration are discussed and a narrative review of the management of this rare complication is presented.

Non-contrast Head CT on admission axial

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Published

2024-06-30

Issue

Section

Pediatric Radiology