Venous Thrombosis as a Complication of Ventriculoatrial Shunt – a Case Report

Česká verzia

Authors: L. Jurák ¹; P. Buchvald ¹; V. Beneš lll ¹; D. Oršulík ²; P. Suchomel ¹
Authors place of work: Krajská nemocnice Liberec, a. s. Neurochirurgické oddělení ¹; Krajská nemocnice Liberec, a. s. Radiologické oddělení ²
Published in the journal: Cesk Slov Neurol N 2015; 78/111(4): 477-481
Category: Case Report

Summary

Thromboembolic disease is one of possible complications of ventriculoatrial shunt. Our case report describes a 20-year-old patient who was prenatally diagnosed with obstructive hydrocephalus and was postnatally treated with a ventriculoperitoneal shunt and, subsequently, because of cerebrospinal fluid malabsorption in the peritoneal cavity, with ventriculoatrial shunt. Two years after the surgery, the patient was admitted with recurrent symptoms of dyspnoea, morning oedema of the face and neck and two-day history of vertigo with feeling of pressure inside her head. Venous ultrasonography revealed thrombus in the left internal jugular vein and around the atrial end of the shunt. Anticoagulation therapy using subcutaneous application of low-molecular-weight heparin enoxaparin was started. Ventriculoatrial shunt was removed and replaced with ventriculoperitoneal shunt. Eventually, three of four closed veins were recanalized. After one year of thrombosis treatment, the patient is without any significant subjective or objective problems and she is treated with warfarin.

Key words:
thromboembolic disease – venous thrombosis – ventriculoatrial shunt – hydrocephalus – anticoagulation therapy

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

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