Typical but uncommon computed tomography angiographic appearance of left ventricular assist device: Awareness is key!  Priya Sarv, Watal Pankaj, Staron.

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Presentation transcript:

Typical but uncommon computed tomography angiographic appearance of left ventricular assist device: Awareness is key!  Priya Sarv, Watal Pankaj, Staron Michelle, Sato Shawn  European Journal of Radiology Open  Volume 6, Pages 132-135 (January 2019) DOI: 10.1016/j.ejro.2019.03.004 Copyright © 2019 Terms and Conditions

Fig. 1 Post-operative seroma formation. Axial CT image shows fluid density collection anterior to LVAD conduit consistent with seroma. European Journal of Radiology Open 2019 6, 132-135DOI: (10.1016/j.ejro.2019.03.004) Copyright © 2019 Terms and Conditions

Fig. 2 CTA and Volume Rendered Images. Multiplanar sagittal image (A) and Volume Rendered image (B) shows potential space in the outflow cannula created between inner polyester and outer Gore-Tex coaxial grafts. AAO: Ascending aorta; LV: Left ventricle European Journal of Radiology Open 2019 6, 132-135DOI: (10.1016/j.ejro.2019.03.004) Copyright © 2019 Terms and Conditions

Fig. 3 Cinematic Volume rendered (VR) images. Cinematic VR (A) and slab projection (B) images clearly show the relationship of inner and outer coaxial grafts with potential space between them. European Journal of Radiology Open 2019 6, 132-135DOI: (10.1016/j.ejro.2019.03.004) Copyright © 2019 Terms and Conditions

Fig. 4 Repeat CTA performed 4 days later. Multiplanar sagittal (A) and axial (B) images show no change in appearance of outflow cannula and seroma. European Journal of Radiology Open 2019 6, 132-135DOI: (10.1016/j.ejro.2019.03.004) Copyright © 2019 Terms and Conditions

Fig. 5 HeartWare assist device. Graphical representation (5A, 5B) of the HeartWare left ventricular assist device and its parts European Journal of Radiology Open 2019 6, 132-135DOI: (10.1016/j.ejro.2019.03.004) Copyright © 2019 Terms and Conditions

Fig. 6 X-ray chest showing LVAD placement. Chest x-ray of the patient shows positioning of HeartWare LVAD in the pericardial space. European Journal of Radiology Open 2019 6, 132-135DOI: (10.1016/j.ejro.2019.03.004) Copyright © 2019 Terms and Conditions