Presentation
Known chronic asthmatic. Presents with non-resolving pneumonia. Known pacemaker patient.
Patient Data
There is left ventricular cardiomegaly.
There is left subclavian access, external dual lead pacemaker in situ.
There is dense right middle lobe and lower lobe consolidation / obstructive pneumonitis.
A right hilar mass lesion is not excluded.
There is poor identification of the transcatheter aortic valve implantation or replacement (TAVI / TAVR) on frontal view and reverse frontal view too.
The lateral view confirms the TAVI, both on normal and reverse views.
Case Discussion
This is an example of a Medtronic CoreValve. This aortic valve is made from Nitinol (Nickel-Titanium alloy) and is MRI conditional. Patients can safely be scanned at 1.5 and 3 Tesla strength immediately after placement.
Expect MR image artifact if scanning the exact area of interest that includes the implanted aortic valve or scanning an adjacent area of interest.
(In this instance, the patient's external pacemaker was non-MRI compatible).
Disclosure: I, Ashesh I Ranchod, have no actual or potential ethical or financial conflict of interest in relation to this device. This case is not intended to be a personal endorsement or recommendation of this product.
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