case_images: PMC10858777_01
case_images: PMC10858777_02
case_images: (a) Axial view and (b) Coronal view of a CT scan showing dilation of the ventricular system with signs of communicating hydrocephalus.
case_images: SNI-15-16-g001.jpg
case_images: PMC10858777_02_SNI-15-16-g001.jpg
case_images: F1
case_images: During follow-up, progressive ventricular system dilation was observed, prompting the indication for a ventricular shunt to manage hydrocephalus [Figure 1].
case_images: (1) Skin, (2) subcutaneous cellular tissue, (3) sternocleidomastoid muscle, (4) internal jugular vein.
case_images: SNI-15-16-g002.jpg
case_images: PMC10858777_02_SNI-15-16-g002.jpg
case_images: F2
case_images: Subsequently, using ultrasound guidance, the internal jugular vein and the internal carotid artery on the right side were identified, and their diameters were measured [Figure 2].
case_images: (a) Lateral thorax x ray view it can be observed thick arrow tip: peel away dilator, thin arrow: ventricular atrium. (b) AP x ray view that shows Star: shunt catheter in right atrium.
case_images: SNI-15-16-g003.jpg
case_images: PMC10858777_02_SNI-15-16-g003.jpg
case_images: F3
case_images: The distal catheter of the VAS was then advanced through the "peel-away" catheter to the right cavoatrial junction, with confirmation of the proper position achieved through intraoperative fluoroscopy [Figure 3].