A case with pyopericardium and cardiac tamponade induced by migration of ventriculoperitoneal shunt catheter

Cemşit Karakurt; Serkan Fazlı Çelik; Mehmet Öztürk; Olcay Murat Dişli; Cengiz Yakıncı

doi:10.5606/tgkdc.dergisi.2014.9761

Cemşit Karakurt¹, Serkan Fazlı Çelik¹, Mehmet Öztürk², Olcay Murat Dişli³, Cengiz Yakıncı⁴

Department of Pediatric Cardiology, Medical Faculty of İnönü University, Malatya, Turkey
¹Departments of Pediatric Cardiology, Medical Faculty of İnönü University, Malatya, Turkey
²Departments of Radiology, Medical Faculty of İnönü University, Malatya, Turkey
³Departments of Cardiovascular Surgery, Medical Faculty of İnönü University, Malatya, Turkey
⁴Departments of Pediatrics, Medical Faculty of İnönü University, Malatya, Turkey

DOI : 10.5606/tgkdc.dergisi.2014.9761

Ventriculoperitoneal (VP) shunt is a method used in the treatment of hydrocephalus. In this article, we report a four-year-old girl who was implanted a VP shunt due to hydrocephalus, and referred to our clinic due to dyspnea and cardiomegalia. Echocardiographic examination revealed cardiac tamponade and pericardial effusion. Thorax computed tomography, which was performed due to suspicion of migration of the VP catheter to the pericardium, showed that the VP catheter tip was inside the pericardium. Pericardiectomy was performed due to pericardial constriction was developed after tube drainage, and the VP shunt catheter was shortened and replaced into the abdominal cavity.

Keywords : Complication; pericardial effusion; ventriculoperitoneal shunt

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