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Acorn CorCap Cardiac Support Device

Imaging findings

A 59-year-old woman with heart failure has a chest radiograph showing a structure following the contours of the ventricles and lying against the pericardium, corresponding to a mesh sewn around the ventricles.

Key takeaways

The Acorn CorCap is a surgically implanted mesh cardiac support device wrapped around the ventricles to restrict remodeling and dilatation in heart failure with mitral regurgitation, developed in the mid-2000s but never FDA-approved and now rarely seen. Recognizing the ventricular mesh on imaging identifies this historical device rather than a pathologic finding.

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