Child's Nervous System

, Volume 5, Issue 1, pp 29–31 | Cite as

Cor pulmonale: a lethal complication of ventriculoatrial CSF diversion

  • Joseph H. PiattJr.
  • Harold J. Hoffman
Original Papers


We report the case of a child with cor pulmonale due to chronic thromboembolism from a ventriculoatrial shunt. The patient's pulmonary hypertension and heart failure did not resolve after removal of the atrial catheter and conversion to a ventriculoperitoneal system, and death ensued 2 months later. The reasons for the historical ascendancy of ventriculoperitoneal over ventriculoatrial shunts must be recalled when circumstances make the peritoneal cavity an unsuitable receptacle for CSF diversion. Patients with ventriculoatrial shunts must be monitored for cardiopulmonary complications.

Key words

Atrium Cor pulmonale Peritoneum Pleura Pulmonary thromboembolism 


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Copyright information

© Springer-Verlag 1989

Authors and Affiliations

  • Joseph H. PiattJr.
    • 1
  • Harold J. Hoffman
    • 2
  1. 1.Neurological Surgery SectionMadigan Army Medical CenterTacomaUSA
  2. 2.Division of Neurosurgery, The Hospital for Sick Children555 University AvenueTorontoCanada

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