title: Severe respiratory failure following ventriculopleural shunt.
abstract: Cerebrospinal fluid (CSF) diversion procedure has been used for long to treat hydrocephalus in children. The principle of shunting is to establish a communication between the CSF and a drainage cavity (peritoneum, right atrium, and pleura). Ventriculoperitoneal shunt is used most commonly, followed secondly by ventriculopleural shunt (VPLS). Hydrothorax due to excessive CSF accumulation is a rare complication following both the type of shunts and is more frequently seen with VPLS. We report a case of a 6-year-old female child presenting with massive CSF hydrothorax with respiratory failure following VPLS. The aim of the article is to highlight early recognition of this rare and life-threatening condition, which could easily be missed if proper history is not available.
authors.affiliation: Department of Pediatrics, Pediatric Intensive Care Unit, Narayana Hrudayalaya, Bangalore, Karnataka, India.
authors.forename: Shahzad
authors.initials: S
authors.lastname: Alam
authors.affiliation: Department of Pediatrics, Pediatric Intensive Care Unit, Narayana Hrudayalaya, Bangalore, Karnataka, India.
authors.forename: Nagaraju M
authors.initials: NM
authors.lastname: Manjunath
keywords: Hydrothorax; ventriculoperitoneal shunt; ventriculopleural shunt