Ventriculo-bipleural shunt as last resort in a 4-year-old child in whom a VP and VA shunt failed

• Verfasst von: Ratliff, Miriam [VerfasserIn]
• Verfasst von: Unterberg, Andreas [VerfasserIn]
• Verfasst von: Bächli, Heidi [VerfasserIn]
• Titel: Ventriculo-bipleural shunt as last resort in a 4-year-old child in whom a VP and VA shunt failed
• Verf.angabe: Miriam Ratliff, MD, Andreas Unterberg, MD, Prof., and Heidi Bächli, MD, Prof. (Department of Neurosurgery, Heidelberg University, Heidelberg, Germany)
• E-Jahr: 2016
• Jahr: [March 2016]
• Jahr des Originals: 2015
• Umfang: 4 S.
• Illustrationen: Illustrationen
• Fussnoten: Published online November 27, 2015 ; Gesehen am 17.06.2020
• Titel Quelle: Enthalten in: Journal of neurosurgery / Pediatrics
• Ort Quelle: Charlottesville, Va. : AANS, 2008
• Jahr Quelle: 2016
• Band/Heft Quelle: 17(2016), 3, Seite 285-288
• ISSN Quelle: 1933-0715
• DOI: doi:10.3171/2015.7.PEDS15218
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1700721364

Abstract

<section class="abstract"><p>The authors present the unusual case of a 4-year-old boy who had a complex history of posthemorrhagic hydrocephalus and who underwent more than 40 surgeries related to this condition. In the course of trying to treat his condition, ventriculoperitoneal, ventriculoatrial, and ventriculopleural shunts were inserted and failed.</p><p>The child presented with a dysfunction of his shunt system. A ventriculopleural shunt was inserted, but within days the patient developed dyspnea as a clinical symptom of pleural effusion that required repeated thoracentesis. A bipleural drainage system was inserted, and no relevant pleural effusions developed during the follow-up period.</p><p>Although the authors’ experience is based on a single case, they do suggest bipleural drainage in patients with clinically relevant pleural effusions when the more common alternatives are not a good choice. Bipleural drainage might particularly be an option in children, who are prone to pleural effusion because of the smaller absorbing pleural surface. The authors reviewed the English-language literature on PubMed dating back to 1952. To their knowledge, this is the only published case in which a patient was treated with a ventriculo-bipleural shunt.</p></section>