Outflow thrombus in a left ventricular-assist device: Visualization by CT angiography |
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| Affiliation: | 1. Department of Surgical Oncology, Army Hospital (Research and Referral), Delhi, India;2. Department of Pathology, Army Hospital (Research and Referral), Delhi, India;1. Cardiac MR PET CT Program, Massachusetts General Hospital and Harvard Medical School, 165 Cambridge Street, Boston, MA 02114, USA;2. Department of Diagnostic and Interventional Radiology, Esslingen Hospital, Esslingen, Germany;3. Department of Diagnostic and Interventional Radiology, University Hospital Heidelberg, Germany;4. Division of Cardiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA;5. Department of Internal Medicine II and Cardiology, University of Ulm Medical Center, Ulm, Germany;1. Section of Cardiovascular Imaging, Imaging Institute, Heart & Vascular Institute, Cleveland Clinic, Cleveland, OH 44195, USA;2. Section of Abdominal Imaging, Imaging Institute, Digestive Disease Institute & Cancer Institute, Cleveland Clinic, Cleveland, OH, USA;1. Noninvasive Cardiovascular Imaging Program Cardiovascular Division (Department of Medicine) and Department of Radiology, Brigham and Women''s Hospital, Harvard Medical School, Boston, MA, US;2. Division of Cardiology, Hypertrophic Cardiomyopathy Center, Tufts Medical Center, Boston, MA, USA |
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| Abstract: | A 63-year-old man with ischemic cardiomyopathy, ejection fraction of 15%, and status after HeartMate II implantation as a bridge to cardiac transplantation presented with presyncope and exertional dyspnea 1.5 years after implantation. After unrevealing laboratory workup and echocardiography for LVAD thrombosis, the patient underwent CT imaging. CT revealed mural thrombus in the proximal LVAD outflow cannula, a very unlikely site of thrombus, highlighting the importance of CT imaging in diagnosis of LVAD complications. |
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| Keywords: | HeartMate II LVAD Thrombus Syncope |
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