A case of V-A shunt catheters migration into the pulmonary artery

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A case of V-A shunt catheters migration into the pulmonary artery Wataru Irie, Masataka Furukawa, Chikako Murakami, Masamune Kobayashi, Kazuho Maeda, Naomi Nakamaru, Chizuko Sasaki, Kota Shibuya, Shigeki Nakamura, Katsuyoshi Kurihara Legal Medicine Volume 11, Issue 1, Pages 25-29 (January 2009) DOI: 10.1016/j.legalmed.2008.06.005 Copyright © 2008 Elsevier Ireland Ltd Terms and Conditions

Fig. 1 Right cervical region. V-A shunt fractured at about 3cm proximal to the internal jugular vein. Legal Medicine 2009 11, 25-29DOI: (10.1016/j.legalmed.2008.06.005) Copyright © 2008 Elsevier Ireland Ltd Terms and Conditions

Fig. 2 Pulmonary artery. A part of the catheter was firmly fixed to the pulmonary artery wall. It formed a U-shaped loop on the right pulmonary artery. Legal Medicine 2009 11, 25-29DOI: (10.1016/j.legalmed.2008.06.005) Copyright © 2008 Elsevier Ireland Ltd Terms and Conditions

Fig. 3 Lung tissue (HE×100). Organization of endothelial cells of the microarteries. Legal Medicine 2009 11, 25-29DOI: (10.1016/j.legalmed.2008.06.005) Copyright © 2008 Elsevier Ireland Ltd Terms and Conditions

Fig. 4 Fixed region to the pulmonary artery wall (HE×40). The catheter was completely covered by fibrous tissue. Legal Medicine 2009 11, 25-29DOI: (10.1016/j.legalmed.2008.06.005) Copyright © 2008 Elsevier Ireland Ltd Terms and Conditions

Fig. 5 CT images. There is a tube-shaped foreign body in the pulmonary artery. Legal Medicine 2009 11, 25-29DOI: (10.1016/j.legalmed.2008.06.005) Copyright © 2008 Elsevier Ireland Ltd Terms and Conditions

Fig. 6 Fractured region of the V-A shunt catheter. Left side catheter with soft tissue is remaining part in the right cervical region, and the other is migrated part. One end of the catheter was fractured slightly obliquely and the shape of its fractured end was almost the same as that of the end of the remaining catheter. Legal Medicine 2009 11, 25-29DOI: (10.1016/j.legalmed.2008.06.005) Copyright © 2008 Elsevier Ireland Ltd Terms and Conditions