A ventriculoperitoneal shunt catheter was incidentally found within the heart of a preadolescent boy with a history of ventriculoperitoneal shunt placement. Transesophageal echocardiography (apical 4-chamber view [A] and short-axis view [B]) showed the catheter entering the internal jugular vein, passing through the right atrium and ventricle, and intermittently crossing the pulmonary valve, with resultant moderate tricuspid regurgitation. Click the Related Article link for full details.
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