=====Ventriculo azygos vein shunt===== Ventriculo [[azygos vein]] [[shunt]] is a type of [[ventricular shunt]]. ====Videos==== ====Case reports==== A woman after failing peritoneal, pleural, and atrial distal drainage sites underwent a thorascopic-assisted ventriculo-azygous vein shunt placement. A 32-year-old woman with long-standing history of hydrocephalus and shunt dependence. She had failed peritoneal and atrial shunts secondary to infection, scarring, and clot formation. At presentation, she had a pleural shunt in place and developed a large pleural effusion with shortness of breath. She was taken to the operating room where a thorascopic-assisted ventriculo-azygous vein shunt was placed through a mini-thoracotomy. Postoperatively, she has not required a shunt revision in >2 years of follow-up. When other distal sites fail, this case report illustrates a novel surgical technique capable of being performed through a multidisciplinary approach ((Pace J, Smith GA, Pannunzio A, Rothstein B, Markowitz A, Hoffer A. Thorascopic-Assisted Ventriculo-Azygous Shunt Placement for the Treatment of Hydrocephalus: Case Report. Neurosurgery. 2015 Aug 19. [Epub ahead of print] PubMed PMID: 26295498.)).