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Malpositioned LV Vent in Central AV-ECMO

Imaging findings

A small, bullet-shaped metallic tip was seen on the chest radiograph in the superior pulmonary vein rather than the left ventricle.

Key takeaways

When central ECMO is difficult, surgeons may leave an LV vent tip in a pulmonary vein if the ventricle is unreachable. Radiologists should be familiar with the appearance of these specific vent tips.

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