Rare Diseases Symptoms Automatic Extraction

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 presenting "recurrent episodes" symptom

  • acute rheumatic fever
  • adrenomyeloneuropathy
  • benign recurrent intrahepatic cholestasis
  • child syndrome
  • cholangiocarcinoma
  • cystinuria
  • familial mediterranean fever
  • hydrocephalus with stenosis of the aqueduct of sylvius
  • kabuki syndrome
  • neuralgic amyotrophy
  • pyruvate dehydrogenase deficiency
  • systemic capillary leak syndrome
  • triple a syndrome

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