Heart and Great Vessels: Cardiovascular Devices

10.1055/b-0034-87859

Heart and Great Vessels: Cardiovascular Devices

**Table 1.88 Cardiovascular devices**
Diagnosis	Findings	Comments
Coarctation of aorta Fig. 1.227a, b	Stent.	For adolescent patients.
Patent ductus arteriosus Fig. 1.216, p. 125	Coil; vascular clip; Amplatzer duct occluder.
Pulmonary valve stenosis Fig. 1.228a–c	Melody stent.	After dysfunctioning pulmonary homograft. Beware of strut fractures.
VSD, ASD, and patent foramen ovale Fig. 1.229	Amplatzer occluder device.	Beware of migration.
Cardiac arrythmia: postcardiac surgery Fig. 1.230a–c	Pacemaker.	Beware of lead dislocation or fracture.
Valvular dysfunction Fig. 1.231, p. 134 Fig. 1.232, p. 134	Valve replacement.	Projection on radiograph defines the valve replacement.

**Fig. 1.227a, b Coarctation aorta.** (a) An 18-year-old man with coarctation aorta after endovascular stent treatment (arrow). (b) Three-dimensional SSD of the endovascular stent.

**Fig. 1.228a–c Melody stent.** (a) A 14-year-old girl after Melody stent placement (arrow). (b) Melody stent. (c) Melody stent with broken strut (see inset).

**Fig. 1.229 A 16-year-old boy after endovascular treatment of ASD using an Amplatzer device (see inset).**

**Fig. 1.230a–c Cardiac arrhythmia.** (a) A 9-year-old girl with tetralogy of Fallot. An epicardial pacemaker has been placed. Note the presence of a Melody valve replacement. (b) A 15-year-old girl with an implantable cardioverter defibrillator; the lead is positioned within the right ventricle. (c) A 1-year-old boy with a subcutaneous implantable cardioverter defibrillator in combination with electrocardial pacing.

**Fig. 1.231 A 17-year-old boy with a mitral valve replacement.**

**Fig. 1.232 Schematic representation of valve replacements** on the anteroposterior/posteroanterior chest radiograph (left) and lateral radiograph (right).


P	pulmonary
A	aortic
T	tricuspid
M	mitral

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