Ventriculoatrial shunt (VA) is one of the oldest solutions for hydrocephalus. However
over subsequent years various complication of VA shunt such as obstructions, malposition,
shunt infections, cardiac complications such as endocarditis, traumatic perforation,
heart failure, tricuspid regurgitation, intraatrial thrombus, and pulmonary hypertension
are reported. Hence, VA shunt procedure has fallen into disrepute. Still VA shunt
may be a good option in selected patients with hostile peritoneum. Newer placement
strategies and monitoring methods have been put forward to reduce complication following
VA shunt. In this case report, we share a rare case of endocarditis with tricuspid
regurgitation following a migrated retained calcified shunt tube in the right ventricle
of heart 30 years after of VA shunt that was successfully managed.
Key-words:
Migrated - retained - shunt - ventriculoatrial
