Child's Nervous System

, Volume 35, Issue 5, pp 857–860 | Cite as

Port-a-cath and ventriculoatrial shunt at the same atrium: technical note

  • Mehmet Can Ezgu
  • Cahit Kural
  • Salih Guler
  • Yusuf IzciEmail author
Technical Note


Hydrocephalus is a rare complication of brain involving acute lymphoblastic leukemia (ALL). The standard treatment is ventriculoperitoneal (VP) shunting, while ventriculoatrial (VA) shunting is the second option in a case of VP shunt failure in young children. But the presence of port catheter at the right atrium restricts and makes a VA shunt difficult to place in the same atrium. We presented a 4-year-old boy who had the diagnoses of ALL and underwent chemotherapy through a port-a-cath. He also had hydrocephalus due to the brain invasion of the ALL. He firstly underwent VP shunting for the treatment of hydrocephalus, but it failed due to an intraabdominal cyst. Then, he underwent VA shunting through the left internal jugular vein. This is the first case in the literature showing both catheters in the right atrium.


Ventriculoatrial shunt Port Leukemia 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Neurosurgery, University of Health SciencesGulhane Training and Research HospitalAnkaraTurkey
  2. 2.Department of Cardiovascular Surgery, University of Health SciencesGulhane Training and Research HospitalAnkaraTurkey

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