Impella left ventricular assist device

Case contributed by Jayanth Keshavamurthy , 18 Aug 2015
Diagnosis certain
Changed by Matt A. Morgan, 19 Aug 2015

Updates to Case Attributes

Presentation was changed:
This a chest radiograph after cardiac catheterisation in a known patient with CADcoronary artery disease and chest pain.

Systems changed:

  • Chest

Updates to Study Attributes

Findings was changed:

Right internal jugular central venous catheter, endotracheal tube, enteric tube, triple lead left chest AICD and Impella left ventricular assist device (LVAD) all project in appropriate locations.

ECG leads and defibrillator pads overlie the patient.

The coronary artery stent is overlying the proximal LAD.

The cardiopericardial silhouette and mediastinal structures are stable.

Lungs are equally expanded bilaterally and demonstrate grossly stable, pulmonary parenchymal findings compared to the prior chest radiograph.

No pleural effusion or pneumothorax demonstrated.

Updates to Study Attributes

Findings was changed:

Impella LVAD is highlighted in yellow and zoomed. Zoomed in image.

Updates to Quizquestion Attributes

Question was changed:
How is the Impella LVAD placed?
Answer was changed:
Via a femoral artery Impella LVAD is placed. The inlet is in LVleft ventricle below the aortic valve. Outlet is above aortic valve in the ascending aorta.

Updates to Quizquestion Attributes

Question was changed:
How muchWhat is thea normal value for cardiac output?
Answer was changed:
2.5 to 5.0 L/min.

Updates to Quizquestion Attributes

Question was changed:
MostWhat is the most common indication for LVAD placement?

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