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Case of the Week 418



What is the most likely diagnosis?

  • 79 year-old male with chronic shortness of breath



Frontal Chest Radiograph
Edge-enhanced and Reversed

  1. Dorsal column stimulator
  2. Esophageal Stimulator
  3. Cavo-splenic shunt
  4. Artifact
  5. Left Ventricular Assist Device

Additional Images - Coronal CT reconstructions

 

 

Additional Images

 

Coronal CT Reconstructions


Answer:

.


5. Left Ventricular Assist Device

.

.

More (Click Discussion Tab)


Left Ventricular Assist Device

General Considerations

  • Surgically implanted, mechanical circulatory assist device in patients with severe and medically refractory heart failure
  • Originally, these devices were used as a bridge to cardiac transplantation
  • LVAD are now used as a permanent alternative to heart transplantation (known as destination therapy)
  • It is estimated that 250,000 patients in US are in refractory heart failure and there are approximately 2,100 donor hearts available each year

MORE...


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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.