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HeartMate 3 LVAD Magnetic Artifact

Imaging findings

Portable digital radiographs in a patient with a HeartMate 3 left ventricular assist device show perfectly oriented parallel stripe artifacts that initially resemble grid lines, appearing on most but not all images and oriented perpendicular to the long axis of the pump, changing angle as the pump angle changes.

Key takeaways

The HeartMate 3 LVAD uses a magnetically levitated centrifugal pump with a rapidly switching magnetic field to emulate pulsatile flow, and this field produces a stripe artifact on portable digital radiographs that can mimic grid lines. Recognizing the artifact (perpendicular to the pump axis, variable between images) avoids misinterpretation, and a thin metal shield acting as a small Faraday cage between the detector and patient may mitigate it.

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