Ventriculo caval shunt: a salvage alternative
Santiago Diaz Pinillos·Alejandro Cañas·Enrique Monsalve Vargas·Juan Carlos Menendez·Mauricio Toscano Heredia·Jorge Leonardo Tandazo Azuero
Abstract Hydrocephalus management is particularly challenging in patients with contraindications to conventional cerebrospinal fluid (CSF) diversion pathways. We report the case of a 37-year-old woman with obstructive hydrocephalus and a complex surgical history, including multiple shunt failures, extensive venous thrombosis and impaired peritoneal absorption. After exhaustion of standard options, an extraperitoneal ventriculocaval shunt (VCS) was performed with distal catheter placement in the