Pulmonary valve replacement
Young patient with cardiac history, that merits cardiothoracic surgery.
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Iatrogenic high density structure in the left paramidline at the site of the pulmonary trunk, in keeping with a pulmonary valve replacement.
The pulmonary valve is an uncommon form of prosthetic cardiac valves replacement.
Its location to the left of the midline close to the pulmonary trunk, allow for it identification.
In this case it was a Melody prosthetic valve.
Images courtesy of Dr Gregory Compton, Hospital for Sick Children in Toronto, Ontario, Canada.