A rare but life-threatening complication of ventriculo-atrial shunt.

[hydrocephalus with stenosis of the aqueduct of sylvius]

Insertion of ventriculoperitoneal and ventriculoatrial shunts is routinely performed . Infarction pneumonia and atrial thrombus formation are described as very rare complications of ventriculoatrial shunts . We present the case of a female patient with ventriculoatrial shunt insertion as long term treatment for aequeductal stenosis who presented with recurrent episodes of dyspnoea , chest pain , and unilateral pleural effusion . Diagnostic evaluation revealed a positive D-dimer test , bilateral basal infiltrates and pleural effusion . Transesophageal echocardiography established the diagnosis of a thrombus in the right atrium . Laboratory testing for thrombophilia revealed a homozygous factor V Leiden mutation . In the following , a shunt revision was performed .

Diseases
Validation

Diseases presenting "pneumonia" symptom

22q11.2 deletion syndrome

acute rheumatic fever

allergic bronchopulmonary aspergillosis

alpha-thalassemia

classical phenylketonuria

cohen syndrome

congenital diaphragmatic hernia

heparin-induced thrombocytopenia

hydrocephalus with stenosis of the aqueduct of sylvius

junctional epidermolysis bullosa

lamellar ichthyosis

legionellosis

liposarcoma

lymphangioleiomyomatosis

monosomy 21

oculocutaneous albinism

omenn syndrome

pleomorphic liposarcoma

primary effusion lymphoma

proteus syndrome

pyomyositis

scrub typhus

severe combined immunodeficiency

triple a syndrome

waldenström macroglobulinemia

wiskott-aldrich syndrome

x-linked adrenoleukodystrophy

zellweger syndrome

This symptom has already been validated