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Title: Worsening respiratory failure in an adult hydrocephalic patient with a ventriculo-pleural shunt.
Austin Authors: Wong, Edmond ;Jeganathan, Vishnu ;Wreghitt, Samuel ;Davis, Gavin A ;Wimaleswaran, Hari ;Howard, Mark E 
Affiliation: Respiratory and Sleep Medicine
Institute for Breathing and Sleep
Faculty of Medicine, Dentistry and Health Sciences University of Melbourne Parkville VIC Australia
Turner Institute for Brain and Mental Health Monash University Clayton VIC Australia
Issue Date: Nov-2020
Date: 2020
Publication information: Respirology Case Reports 2020; 8(8): e00660
Abstract: Ventriculo-pleural (VPL) shunt insertion is performed in hydrocephalic patients when alternative sites of cerebrospinal fluid (CSF) diversion are contraindicated. These include patients with peritoneal complications from ventriculo-peritoneal shunts. Despite its utility, VPL shunts are uncommon. Hydrothoraces should be considered as a potential cause of dyspnoea in the setting of a VPL shunt. We present a case of worsening respiratory failure in the setting of a massive CSF hydrothorax in a hydrocephalic patient with a VPL shunt to highlight this potential complication of pleural CSF diversion, and present a potential management strategy in patients with premorbid underlying lung pathology. In this case, the hydrothorax was drained and the shunt was converted to ventriculo-atrial (VA) shunt.
ORCID: 0000-0002-4335-7582
Journal: Respirology Case Reports
PubMed URL: 33005422
ISSN: 2051-3380
Type: Journal Article
Subjects: Cerebrospinal fluid shunts
pleural effusion
respiratory insufficiency
Appears in Collections:Journal articles

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