J Neurol Surg A Cent Eur Neurosurg 2017; 78(04): 412-416
DOI: 10.1055/s-0036-1597904
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Intramuscular Migration of Venous Catheter as a Rare Complication of Ventriculoatrial Shunt: Case Report and Literature Review

Cheng-Che Hung
3   Department of Neurosurgery, China Medical University Hospital, China Medical University, Taichung, Taiwan
Hao-Yu Chuang
1   Department of Neurosurgery, China Medical University - An Nan Hospital, Tainan City, Taiwan
Hung-Lin Lin
1   Department of Neurosurgery, China Medical University - An Nan Hospital, Tainan City, Taiwan
Yen-Tse Chu
1   Department of Neurosurgery, China Medical University - An Nan Hospital, Tainan City, Taiwan
Cheng Hsin Cheng
1   Department of Neurosurgery, China Medical University - An Nan Hospital, Tainan City, Taiwan
2   Graduate Institute of Clinical Medical Science, China Medical University, Taichung, Taiwan
› Author Affiliations
Further Information

Publication History

31 October 2016

22 November 2016

Publication Date:
13 February 2017 (online)


The most common procedure to manage hydrocephalus is a ventriculoperitoneal shunt. Other alternatives include a ventriculoatrial (VA) shunt, ventriculopleural shunt, lumboperitoneal shunt, or ventriculocisternal shunt. The VA shunt is a relatively rare procedure for hydrocephalus. As reported, several complications of VA shunt include obstructions, malposition, shunt infections, endocarditis, heart failure, tricuspid regurgitation, intra-atrial thrombus, and pulmonary hypertension. In this case report and literature review, we discuss a rare case of intramuscular migration of a venous tube 1 year after VA shunt implantation. We also report all the possible locations of migration after placement of VA shunt.

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