FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2030394328> ?p ?o ?g. }

• W2030394328 abstract "A 21-year-old man was admitted to our emergency department 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 X-ray 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.FIG. 1. a-e.The patient’s cranial computed tomography (CT) shows the ventricular shunt catheter at the right lateral ventricle (a); Chest X-ray shows right sided hydrothorax (b); Chest X-ray after thoracentesis shows persisting hydrothorax (c); Chest X-ray ...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 intra-abdominal 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 developed in 3 years (8). The late hydrothorax complicating the ventriculo-pleural shunts can be explained by two hypotheses: (a) Decreased CSF absorption in the pleural space as a result of impaired pleural absorptive capacity secondary to pleural damage due to prior infection and/or chronic exposure to CSF and (b) over-drainage of CSF into the pleural space (8, 9). The present case behaved as a ventriculo-pleural shunt due to prolonged drainage of CSF into the pleural space from the right thoracic apex. The possible mechanisms of hydrothorax formation in our patient with ventriculo-atrial shunts are the same as those in ventriculo-pleural shunt.To the best of our knowledge, this is the first reported case of CSF hydrothorax as a late complication of ventriculo-atrial shunt catheter displacement. We therefore wish to report this unique complication of ventriculo-atrial shunt." @default.
• W2030394328 created "2016-06-24" @default.
• W2030394328 creator A5007146971 @default.
• W2030394328 creator A5062102419 @default.
• W2030394328 date "2015-01-15" @default.
• W2030394328 modified "2023-09-30" @default.
• W2030394328 title "CSF Hydrothorax as a Late Complication of Ventriculoatrial Shunt Catheter Displacement" @default.
• W2030394328 cites W1963937180 @default.
• W2030394328 cites W1970386293 @default.
• W2030394328 cites W2000503180 @default.
• W2030394328 cites W2004328515 @default.
• W2030394328 cites W2019820276 @default.
• W2030394328 cites W2023192493 @default.
• W2030394328 cites W2049117899 @default.
• W2030394328 cites W2103053440 @default.
• W2030394328 cites W2134374093 @default.
• W2030394328 doi "https://doi.org/10.5152/balkanmedj.2014.14398" @default.
• W2030394328 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/4318412" @default.
• W2030394328 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/25667795" @default.
• W2030394328 hasPublicationYear "2015" @default.
• W2030394328 type Work @default.
• W2030394328 sameAs 2030394328 @default.
• W2030394328 citedByCount "2" @default.
• W2030394328 countsByYear W20303943282017 @default.
• W2030394328 countsByYear W20303943282018 @default.
• W2030394328 crossrefType "journal-article" @default.
• W2030394328 hasAuthorship W2030394328A5007146971 @default.
• W2030394328 hasAuthorship W2030394328A5062102419 @default.
• W2030394328 hasBestOaLocation W20303943281 @default.
• W2030394328 hasConcept C141071460 @default.
• W2030394328 hasConcept C2778134817 @default.
• W2030394328 hasConcept C2778400160 @default.
• W2030394328 hasConcept C2780496750 @default.
• W2030394328 hasConcept C2780968331 @default.
• W2030394328 hasConcept C2781267111 @default.
• W2030394328 hasConcept C71924100 @default.
• W2030394328 hasConcept C81182388 @default.
• W2030394328 hasConceptScore W2030394328C141071460 @default.
• W2030394328 hasConceptScore W2030394328C2778134817 @default.
• W2030394328 hasConceptScore W2030394328C2778400160 @default.
• W2030394328 hasConceptScore W2030394328C2780496750 @default.
• W2030394328 hasConceptScore W2030394328C2780968331 @default.
• W2030394328 hasConceptScore W2030394328C2781267111 @default.
• W2030394328 hasConceptScore W2030394328C71924100 @default.
• W2030394328 hasConceptScore W2030394328C81182388 @default.
• W2030394328 hasLocation W20303943281 @default.
• W2030394328 hasLocation W20303943282 @default.
• W2030394328 hasLocation W20303943283 @default.
• W2030394328 hasLocation W20303943284 @default.
• W2030394328 hasLocation W20303943285 @default.
• W2030394328 hasOpenAccess W2030394328 @default.
• W2030394328 hasPrimaryLocation W20303943281 @default.
• W2030394328 hasRelatedWork W2152207388 @default.
• W2030394328 hasRelatedWork W2321163388 @default.
• W2030394328 hasRelatedWork W2347599562 @default.
• W2030394328 hasRelatedWork W2379471922 @default.
• W2030394328 hasRelatedWork W2399709039 @default.
• W2030394328 hasRelatedWork W2437809457 @default.
• W2030394328 hasRelatedWork W2757606579 @default.
• W2030394328 hasRelatedWork W2897799505 @default.
• W2030394328 hasRelatedWork W4294168606 @default.
• W2030394328 hasRelatedWork W4308389072 @default.
• W2030394328 isParatext "false" @default.
• W2030394328 isRetracted "false" @default.
• W2030394328 magId "2030394328" @default.
• W2030394328 workType "article" @default.