CTICasesRetrosternal mediastinal abscess from LVAD driveline infection
Imaging findings
CT scans show a large, fluid- and gas-containing retrosternal collection tracking along the anterior mediastinum, directly communicating with the LVAD driveline and extending superiorly.
Key takeaways
Infections of ventricular assist device (LVAD) drivelines can track retrograde into the mediastinum, forming retrosternal abscesses. These late infections are serious complications requiring surgical drainage and debridement.
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