Intra-aortic balloon pump and ICU lines

Case contributed by A.Prof Frank Gaillard

Presentation

Post cardiac surgery

Patient Data

Age: 60 years
Gender: Female
X-ray

Chest x-ray (ICU)

Intra-aortic balloon pump (partially inflated) in situ along with the usual post cardiac surgery lines (ETT, SGC, chest drain). 

Annotated image

Annotated images

The inflated intra-aortic ballon can be seen as an elongated radiolucency (red dotted line) with a radio-opaque marker at the tip (red arrow). MRA of another patient demonstrates the full extend to the device. 

As is the case with ICU patients, numerous other lines are visible: 

  • endotracheal tube (blue)
  • Swan-Ganz catheter (yellow - curled in the centre of the film)
  • ECG lead (yellow  - right upper quadrant)
  • temporary pacing leads (green, difficult to see)
  • mediastinal / chest drain (brown)

Case Discussion

When interpreting ICU chest x-rays careful attention must be paid to the lines and catheters present. Familiarity with these lines is essential if appropriate position it so be confirmed, especially as the requests seldom list the lines present. 

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Case information

rID: 19299
Case created: 24th Aug 2012
Last edited: 8th Dec 2016
Inclusion in quiz mode: Included

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