CTICasesInfected Ventricular Assist Device Patch
Imaging findings
Non-contrast CT chest shows displacement of the VAD stabilizer/support patch away from the visceral pericardium, surrounded by a fluid collection containing gas bubbles. The patient was bacteremic with MSSA.
Key takeaways
Infections of mechanical circulatory support devices like VADs can manifest as gas-containing collections or displacement of anchoring patches (e.g., Dacron/gore-tex) from the epicardium, necessitating targeted antimicrobial therapy or transplant.
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