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Acute LVAD Outflow Graft Thrombus

Imaging findings

Cardiac CT angiography shows a small, filling defect (thrombus) along the wall of the Dacron outflow cannula of a left ventricular assist device (LVAD), verified as the cause of recurrent device alarms.

Key takeaways

LVAD outflow graft thrombosis is a serious complication that can cause pump occlusion or systemic embolization. Multidetector cardiac CT (with gating) is the diagnostic standard to differentiate intraluminal thrombus from graft kinking or external compression.

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