Chest x-ray: implants and catheters - the parachute device

Case contributed by Dr Christoph Berliner

Presentation

This patient has a history of cardiac ischaemia with following mitral insufficiency and left ventricular output failure. The chest x-ray was taken post intervention.

Patient Data

Age: 79

Left pectoral ICD device with correct placement in the right ventricle.

Two mitraclips.

Parachute-device in the left ventricle.

Chronic pulmonary congestion.

Case Discussion

Damaged heart muscle after a heart attack can lead to structural remodelling (fibrosis) and decline in ventricular performance.

The Parachute device improves the cardiac output by partitioning damaged heart muscle in the apical region from normal muscle, allowing improvement of cardiac output and functioning of the left ventricle in patients with ischaemic heart failure secondary to infarction.

Implantation is accomplished through catheter-based insertion through the femoral artery.

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Case information

rID: 43556
Case created: 16th Mar 2016
Last edited: 10th Apr 2017
System: Chest
Inclusion in quiz mode: Included

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