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.
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