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Unusual association of diseases/symptoms
Cardiac tamponade and heart failure secondary to ventriculo-pleural shunt malfunction: a rare presentation
  1. M Zaman1,
  2. H Akram2,
  3. N Haliasos3,
  4. S Bavetta3
  1. 1A&E, Newham University Hospital, London, UK
  2. 2Victor Horsley Department of Neurosurgery, The National Hospital for Neurology and Neurosurgery, London, UK
  3. 3Neurosurgery, Queens Hospital, Romford, UK
  1. Correspondence to M Zaman mousumi0001{at}


We report an unusual case of a patient with a ventriculo-pleural shunt presenting with signs and symptoms of heart failure due to massive pericardial effusion. Imaging revealed the distal shunt catheter end within the middle mediastinum to have migrated from the pleural space. The patient underwent a shunt revision procedure resulting in complete resolution of the presenting pathology. We intend to draw the reader's attention to this rare presentation of ventriculo-pleural shunt malfunction.

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  • Competing interests None.

  • Patient consent Obtained.

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