CTICasesLVAD Driveline Infection Extending to the Outflow Cannula
[...]. LVAD Driveline Infection Extending to the Outflow Cannula. CTICases. Published July 19, 2018. https://str-case-explorer.pages.dev/c/k5c8t
Imaging findings
In a second LVAD patient with progressive outflow cannula narrowing on serial CTs, the most recent study additionally shows new soft-tissue attenuation tracking along the outflow cannula into the anterior mediastinum, corresponding clinically to pus draining along the driveline exit site and Klebsiella bacteremia.
Key takeaways
New perigraft soft-tissue infiltration extending from an infected driveline into the mediastinum, in addition to outflow cannula narrowing, indicates that the cannula compromise here is infectious rather than the benign extraluminal fluid seen in an isolated, non-infected case -- distinguishing infected from sterile perigraft fluid collections in LVAD patients has direct management implications.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Radiation Recall PneumonitisILD
- Disseminated Candidiasis with Miliary Pulmonary NodulesInfection
- Marijuana-Associated Aspergillus BronchitisInfection
- SVC Syndrome with Venous-Enhancement Pseudo-Sclerotic Bone MetastasesArtifact
- Disseminated Coccidioidomycosis Mimicking Metastatic CancerInfection
- LVAD Outflow Cannula Extraluminal Fluid Mimicking ThrombusDevices & Post-op
- Fatal Reexpansion Pulmonary Edema with Contralateral ARDSInflammatory
- Necrotizing Sarcoid Granulomatosis with CNS and Pulmonary InvolvementAutoimmune
See all cases from July 19, 2018 →
Related Devices & Post-op cases
- Bioabsorbable Hemostatic Packing Material (Surgicel) Mimicking a Mass After Aortic Surgery
- Multiple Malpositioned Cardiac Resynchronization Therapy Leads, Including Right Ventricular Perforation
- Atrioesophageal Fistula After Atrial Fibrillation Ablation with Embolic Strokes
- Left Ventricular Pseudoaneurysm after Cardiac Surgery
- Amplatzer Amulet Left Atrial Appendage Occlusion Device
- LVAD Outflow Graft Extraluminal Debris Causing Low-Flow Alarms