The authors report an unusual case of distal ventriculoperitoneal shunt catheter into the pulmonary vasculature. The migrated catheter was extracted through a thoracotomy and venotomy, with the cooperation of Neuroneurosurgery and Cardiovascular team. This rare complication after ventriculoperitoneal shunt surgery should be paid enough attention. There were 2 possible mechanisms. To solve the problem, multidisciplinary cooperation should be applied. Address correspondence and reprint requests to Lihua Chen, MD, PhD, The Affiliated Bayi Brain Hospital of the PLA Army General Hospital, No. 5, Nanmencang, Dongcheng District, Beijing 100700, China; chenlihua_neuro@126.com Received 25 July, 2018 Accepted 18 November, 2018 WL, YL, and YS have contributed equally to this work. The authors report no conflicts of interest. © 2019 by Mutaz B. Habal, MD.
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