{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T02:48:20Z","timestamp":1760150900027,"version":"build-2065373602"},"reference-count":14,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2022,1,26]],"date-time":"2022-01-26T00:00:00Z","timestamp":1643155200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Von Hippel\u2013Lindau (VHL) disease along with chronic thromboembolic pulmonary hypertension (CTEPH) is a unique and unusual severe complication of ventriculoatrial (VA) shunt implantation in the treatment of hydrocephalus. To the best of our knowledge, this can be the first reported case of an effective treatment with balloon pulmonary angioplasty in a patient with VHL after VA shunt placement. The patient underwent six balloon pulmonary angioplasty procedures. All invasive procedures resulted in haemodynamic and functional improvement.<\/jats:p>","DOI":"10.3390\/medicina58020185","type":"journal-article","created":{"date-parts":[[2022,1,26]],"date-time":"2022-01-26T11:02:53Z","timestamp":1643194973000},"page":"185","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effective Balloon Pulmonary Angioplasty in a Patient with Chronic Thromboembolic Complications after Ventriculoatrial Shunt for Hydrocephalus in von Hippel\u2013Lindau Disease"],"prefix":"10.3390","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1290-0391","authenticated-orcid":false,"given":"Piotr","family":"Go\u015bciniak","sequence":"first","affiliation":[{"name":"Laboratory of Non-Invasive Cardiac Imaging, Independent Public Clinical Hospital Nr. 1, Pomeranian Medical University, 71-252 Szczecin, Poland"},{"name":"Endocrinology and Internal Diseases Department, Independent Public Clinical Hospital Nr. 1, Pomeranian Medical University, 71-252 Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Micha\u0142","family":"Larysz","sequence":"additional","affiliation":[{"name":"Neurosurgery Department, Independent Public Clinical Hospital Nr. 1, Pomeranian Medical University, 71-252 Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leszek","family":"Sagan","sequence":"additional","affiliation":[{"name":"Neurosurgery Department, Independent Public Clinical Hospital Nr. 1, Pomeranian Medical University, 71-252 Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Larysz","sequence":"additional","affiliation":[{"name":"Cardiology Department, Maria Curie Sk\u0142odowska Province Hospital, 71-527 Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anhelli","family":"Syrenicz","sequence":"additional","affiliation":[{"name":"Endocrinology and Internal Diseases Department, Independent Public Clinical Hospital Nr. 1, Pomeranian Medical University, 71-252 Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6746-469X","authenticated-orcid":false,"given":"Marcin","family":"Kurzyna","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Circulation, Thromboembolic Diseases and Cardiology, 05-400 Otwock, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,1,26]]},"reference":[{"key":"ref_1","first-page":"5","article-title":"Choroba Hippel-Lindau","volume":"32","author":"Krzystolik","year":"1998","journal-title":"Neuri. 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J."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"10","DOI":"10.4103\/2152-7806.106284","article-title":"Reasons, procedures, and outcomes in ventriculoatrial shunts: A single-center experience","volume":"4","author":"Yavuz","year":"2013","journal-title":"Surg. Neurol. Int."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1159\/000156947","article-title":"Development of pulmonary hypertension in adults after ventriculoatrial shunt implantation","volume":"78","author":"Kluge","year":"2009","journal-title":"Respiration"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1002\/ccr3.331","article-title":"Superior vena cava syndrome with retropharyngeal edema as a complica-tion of ventriculoatrial shunt","volume":"3","author":"Entezami","year":"2015","journal-title":"Clin. 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