title: [Ventriculo-cardiac shunt in an adult with a fatal complication: diagnostic and therapeutic aspects. Case report].
abstract: A 29-year-old patient with a Pudenz-Heyer-shunt was assigned to examination because of exercise-induced dyspnea after 10 years of uncomplicated follow-up. Echocardiography established the diagnosis of advanced cor pulmonale, the cause being multiple pulmonary embolism produced by thrombotic layers on the shunt-tube. During anticoagulant therapy right heart decompensation with fatal outcome occurred.
mesh_terms: D000328:Adult; D002557:Cerebrospinal Fluid Shunts / Q000009:adverse effects*; D003374:Coumarins / Q000627:therapeutic use; D004417:Dyspnea / Q000209:etiology*; D004452:Echocardiography; D004562:Electrocardiography; D006801:Humans; D006849:Hydrocephalus / Q000628:therapy; D008297:Male; D011655:Pulmonary Embolism / Q000188:drug therapy / Q000209:etiology*; D012086:Reoperation
chemical_list: D003374:Coumarins
vernacular_title: Ventrikulo-kardialer Shunt im Erwachsenenalter mit letaler Komplikation: diagnostische und therapeutische Aspekte. Fallbericht.