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Updated: May 25, 2026

Shunt Surgery, Right Heart Catheterization, and Vascular Morphometry in a Rat Model for Flow-induced Pulmonary Arterial Hypertension
Published on: February 11, 2017
Calcified right atrial and pulmonary artery mass after ventriculoatrial shunt insertion
Emir Mujanovic1, Jacob Bergsland, Stjepan Jurcic
1BH Heart Center Tuzla, Tuzla, Bosnia and Herzegovina. emirmujanovic2@gmail.com
Insights
Ventriculoatrial shunts effectively treat hydrocephalus but can cause rare thrombus complications. Routine echocardiography is suggested for early detection of life-threatening thrombotic masses in shunt recipients.
Area of Science:
- Cardiovascular Surgery
- Neurosurgery
- Pediatric Cardiology
Background:
- Ventriculoatrial (VA) shunts are crucial for managing hydrocephalus by draining cerebrospinal fluid.
- These shunts connect the cerebral ventricle to the right atrium, improving patient survival rates.
Observation:
- Complications such as thrombus formation and thromboembolism can occur around the intracardiac portion of VA shunts.
- The rarity and delayed onset of symptoms in VA shunt recipients may lead to misdiagnosis or delayed diagnosis.
Findings:
- A case highlights the potential for indwelling foreign bodies, like VA shunts, to develop life-threatening thrombotic masses.
- Prompt recognition and treatment are essential to prevent severe outcomes.
Implications:
- Routine echocardiography at regular intervals is recommended for patients with VA shunts.
- This screening can aid in the early detection and management of potentially fatal thrombotic complications.
Abstract:
Insertion of ventriculoatrial (VA) shunts is an effective method of draining cerebrospinal fluid from the cerebral ventricle to the right atrium and significantly improves the survival of patients with hydrocephalus. Some patients who received a VA shunt subsequently developed complications, including thrombus formation around the intracardiac end of the catheter and thromboembolism. The relative rarity of complications and the long latency between shunt insertion and the development of symptoms in VA shunt recipients may result in misdiagnosis or delayed diagnosis. The case presented suggests that such patients may require routine echocardiography at regular intervals. Otherwise, the indwelling foreign body may become the source of a life-threatening thrombotic mass, if not recognised and treated appropriately.
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