CTICasesPost-VAD Removal Periosteal Ossification
Imaging findings
Post-operative CT in a patient after HeartMate 2 LVAD removal and heart transplant demonstrates a small, calcified rim-like structure near the apical pericardium adjacent to and apparently in continuity with a rib, with associated periostitis at the site of the prior LVAD hardware.
Key takeaways
Post-surgical periosteal reaction and heterotopic ossification can develop at sites of hardware contact or periosteal injury during device removal. Recognizing this as a benign iatrogenic process is important to avoid misinterpretation as tumor or infection.
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