CTICasesImpella Placement via Graft Chimney
Imaging findings
A cardiac assist device (Impella) extending from the aorta via a surgically created "chimney" graft.
Key takeaways
This unusual approach was necessary due to small axillary arteries. Clinicians should be aware that if the device is removed but the graft remains, it can appear as a confusing tubular opacity in the superior mediastinum on follow-up imaging.
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