Case Report: Two Cases of Watershed Phenomenon in Mechanical Circulatory Support Devices: Computed Tomography Angiography Imaging and Literature Review

Mechanical circulatory support (MCS) has become a processing technique used in end-stage heart failure (ESHF) because it can significantly improve survival and quality of life in patients with ESHF as either a transitional support therapy or a permanent replacement therapy before heart transplant. H...

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Main Authors: Guiying Du, Jiwang Zhang, Junbo Liu, Lijuan Fan
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-05-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2022.893355/full
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author Guiying Du
Jiwang Zhang
Junbo Liu
Lijuan Fan
author_facet Guiying Du
Jiwang Zhang
Junbo Liu
Lijuan Fan
author_sort Guiying Du
collection DOAJ
description Mechanical circulatory support (MCS) has become a processing technique used in end-stage heart failure (ESHF) because it can significantly improve survival and quality of life in patients with ESHF as either a transitional support therapy or a permanent replacement therapy before heart transplant. However, various potential complications associated with MCS need to be considered, especially aortic root thrombus formation. It’s critical to have an appropriate diagnosis of aortic root thrombus and “watershed” because the prognosis and treatment are different. Both “watershed” and aortic root thrombus formation can be characterized by computed tomography angiography. The CT manifestations of two patients who had MCS device implantation in our hospital (one with intra-aortic balloon pumps + extracorporeal membrane oxygenators, the other with left ventricular assist devices) were reported, and a literature review that recognized of “watershed” phenomenon in the aortic root was conducted.
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spelling doaj.art-89ee1555139a41958dd168abfa8e69db2022-12-22T03:34:49ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-05-01910.3389/fcvm.2022.893355893355Case Report: Two Cases of Watershed Phenomenon in Mechanical Circulatory Support Devices: Computed Tomography Angiography Imaging and Literature ReviewGuiying DuJiwang ZhangJunbo LiuLijuan FanMechanical circulatory support (MCS) has become a processing technique used in end-stage heart failure (ESHF) because it can significantly improve survival and quality of life in patients with ESHF as either a transitional support therapy or a permanent replacement therapy before heart transplant. However, various potential complications associated with MCS need to be considered, especially aortic root thrombus formation. It’s critical to have an appropriate diagnosis of aortic root thrombus and “watershed” because the prognosis and treatment are different. Both “watershed” and aortic root thrombus formation can be characterized by computed tomography angiography. The CT manifestations of two patients who had MCS device implantation in our hospital (one with intra-aortic balloon pumps + extracorporeal membrane oxygenators, the other with left ventricular assist devices) were reported, and a literature review that recognized of “watershed” phenomenon in the aortic root was conducted.https://www.frontiersin.org/articles/10.3389/fcvm.2022.893355/fullleft ventricular assist devicesextracorporeal membrane oxygenatorscase reportcomputed tomography angiographywatershed phenomenoaortic root thrombus formation
spellingShingle Guiying Du
Jiwang Zhang
Junbo Liu
Lijuan Fan
Case Report: Two Cases of Watershed Phenomenon in Mechanical Circulatory Support Devices: Computed Tomography Angiography Imaging and Literature Review
Frontiers in Cardiovascular Medicine
left ventricular assist devices
extracorporeal membrane oxygenators
case report
computed tomography angiography
watershed phenomeno
aortic root thrombus formation
title Case Report: Two Cases of Watershed Phenomenon in Mechanical Circulatory Support Devices: Computed Tomography Angiography Imaging and Literature Review
title_full Case Report: Two Cases of Watershed Phenomenon in Mechanical Circulatory Support Devices: Computed Tomography Angiography Imaging and Literature Review
title_fullStr Case Report: Two Cases of Watershed Phenomenon in Mechanical Circulatory Support Devices: Computed Tomography Angiography Imaging and Literature Review
title_full_unstemmed Case Report: Two Cases of Watershed Phenomenon in Mechanical Circulatory Support Devices: Computed Tomography Angiography Imaging and Literature Review
title_short Case Report: Two Cases of Watershed Phenomenon in Mechanical Circulatory Support Devices: Computed Tomography Angiography Imaging and Literature Review
title_sort case report two cases of watershed phenomenon in mechanical circulatory support devices computed tomography angiography imaging and literature review
topic left ventricular assist devices
extracorporeal membrane oxygenators
case report
computed tomography angiography
watershed phenomeno
aortic root thrombus formation
url https://www.frontiersin.org/articles/10.3389/fcvm.2022.893355/full
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