Ventriculo azygos vein shunt
Ventriculo azygos vein shunt is a type of ventricular shunt.
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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 1).