What is the most likely diagnosis?
- 79 year-old male with chronic shortness of breath
Frontal Chest Radiograph
Edge-enhanced and Reversed
- Dorsal column stimulator
- Esophageal Stimulator
- Cavo-splenic shunt
- Artifact
- Left Ventricular Assist Device
Additional Images - Coronal CT reconstructions
Additional Images
Coronal CT Reconstructions
Answer:
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5. Left Ventricular Assist Device
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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
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