Results of systemic to pulmonary arterial shunts during the first year of life are reported in 86 infants under one year of age. Survival rates were highest in older patients and among infants whose basic cardiac defects were considered to be eventually amenable to surgical repair. Persistent hypoxia accounted for the majority of deaths. Congestive heart failure secondary to too large anastomos...

Contrary to the opinion of French pediatrician HenriLouis that isolated ventricular septal defects (VSDs) are universally well tolerated, the subsequent discoveries of Eisenmenger, Abbott, Wood, and others have taught us that the prognosis of left-to-right shunt lesions is not always benign. After more than a century of research, as pediatric cardiologists and congenital heart surgeons, we clai...

Infection is a common complication of ventriculoperitoneal shunts, and ascites is one of the rare manifestations of shunt infection. We report a neonate in whom shunt infection is presented only by ascites. The causative organism, coagulase negative staphylococci, was detected only in the cerebrospinal fluid although peritoneal fluid analysis was consistent with infection. Our patient shows the...

SUMMARY Seventy-two patients with left-to-right shunts were studied an average of 5 years after operation. Persistent residual shunts occurred in 24 of the 72 patients and were unsuspected clinically in 11. While significant residual shunts were usually suspected in the group with ventricular septal defects (VSD), residual shunts in the group with atrial septal defects (ASD) were frequently uns...

Lumboperitoneal (LP) shunts were the mainstay of cerebrospinal Background: fluid diversion therapy for idiopathic intracranial hypertension (IIH). The traditionally cited advantage of LP shunts over ventriculoperitoneal (VP) shunts is the ease of insertion in IIH. This needs to be placed at the level of L3/4 to be below the level of the spinal cord. The objective of this study was to analyse th...

We present a case report of a woman hospitalized for a ventricular-peritoneal shunting replacement, who developed a manic episode with psychotic symptoms after hydrocephalus resolution. We have no knowledge of cases of manic episodes due to hydrocephalus resolution by ventricular-peritoneal shunt replacement, although previous case reports have suggested that hydrocephalus might induce rapid-on...