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Pleural effusion in a child with a ventriculoperitoneal shunt and congenital heart disease
We present the unique case of an 8 month old infant who required extracorporeal membrane oxygenation (ECMO) after neonatal repair of tetralogy of Fallot. While on ECMO, he developed grade 3 intraventricular hemorrhage resulting in hydrocephalus requiring ventriculoperitoneal (VP) shunt placement at...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4729718/ https://www.ncbi.nlm.nih.gov/pubmed/26848430 http://dx.doi.org/10.1186/s40064-016-1738-z |
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author | Henningfeld, Jennifer Loomba, Rohit S. Encalada, Santiago Magner, Kristin Pfister, Jennifer Matthews, Anne Foy, Andrew Mikhailov, Theresa |
author_facet | Henningfeld, Jennifer Loomba, Rohit S. Encalada, Santiago Magner, Kristin Pfister, Jennifer Matthews, Anne Foy, Andrew Mikhailov, Theresa |
author_sort | Henningfeld, Jennifer |
collection | PubMed |
description | We present the unique case of an 8 month old infant who required extracorporeal membrane oxygenation (ECMO) after neonatal repair of tetralogy of Fallot. While on ECMO, he developed grade 3 intraventricular hemorrhage resulting in hydrocephalus requiring ventriculoperitoneal (VP) shunt placement at 5 months of life. He presented to cardiology clinic with a 2-month history of poor weight gain, tachypnea, and grunting and was found to have a large right sided pleural effusion. This was proven to be cerebrospinal fluid (CSF) accumulation secondary to poor peritoneal absorption with subsequent extravasation of CSF into the thoracic cavity via a diaphragmatic defect. After diaphragm repair, worsening ascites from peritoneal malabsorption led to shunt externalization and ultimate conversion to a ventriculoatrial (VA) shunt. This is the second reported case of VA shunt placement in a child with congenital heart disease and highlights the need to consider CSF extravasation as the cause of pleural effusions in children with VP shunts. |
format | Online Article Text |
id | pubmed-4729718 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-47297182016-02-04 Pleural effusion in a child with a ventriculoperitoneal shunt and congenital heart disease Henningfeld, Jennifer Loomba, Rohit S. Encalada, Santiago Magner, Kristin Pfister, Jennifer Matthews, Anne Foy, Andrew Mikhailov, Theresa Springerplus Case Study We present the unique case of an 8 month old infant who required extracorporeal membrane oxygenation (ECMO) after neonatal repair of tetralogy of Fallot. While on ECMO, he developed grade 3 intraventricular hemorrhage resulting in hydrocephalus requiring ventriculoperitoneal (VP) shunt placement at 5 months of life. He presented to cardiology clinic with a 2-month history of poor weight gain, tachypnea, and grunting and was found to have a large right sided pleural effusion. This was proven to be cerebrospinal fluid (CSF) accumulation secondary to poor peritoneal absorption with subsequent extravasation of CSF into the thoracic cavity via a diaphragmatic defect. After diaphragm repair, worsening ascites from peritoneal malabsorption led to shunt externalization and ultimate conversion to a ventriculoatrial (VA) shunt. This is the second reported case of VA shunt placement in a child with congenital heart disease and highlights the need to consider CSF extravasation as the cause of pleural effusions in children with VP shunts. Springer International Publishing 2016-01-27 /pmc/articles/PMC4729718/ /pubmed/26848430 http://dx.doi.org/10.1186/s40064-016-1738-z Text en © Henningfeld et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Case Study Henningfeld, Jennifer Loomba, Rohit S. Encalada, Santiago Magner, Kristin Pfister, Jennifer Matthews, Anne Foy, Andrew Mikhailov, Theresa Pleural effusion in a child with a ventriculoperitoneal shunt and congenital heart disease |
title | Pleural effusion in a child with a ventriculoperitoneal shunt and congenital heart disease |
title_full | Pleural effusion in a child with a ventriculoperitoneal shunt and congenital heart disease |
title_fullStr | Pleural effusion in a child with a ventriculoperitoneal shunt and congenital heart disease |
title_full_unstemmed | Pleural effusion in a child with a ventriculoperitoneal shunt and congenital heart disease |
title_short | Pleural effusion in a child with a ventriculoperitoneal shunt and congenital heart disease |
title_sort | pleural effusion in a child with a ventriculoperitoneal shunt and congenital heart disease |
topic | Case Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4729718/ https://www.ncbi.nlm.nih.gov/pubmed/26848430 http://dx.doi.org/10.1186/s40064-016-1738-z |
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