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LVAD outflow cannula thrombosis causing embolic stroke

Imaging findings

CT angiogram shows a large thrombus within the outflow cannula of a HeartMate II LVAD, with corresponding brain MRI showing multiple acute embolic infarctions.

Key takeaways

Thrombosis of the outflow cannula is a catastrophic complication of HeartMate II LVADs. It leads to device dysfunction and systemic embolization, causing massive cerebral infarction and high mortality.

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