MCQ : Echo-27
75-year-old male with history of HFrEF who walks in to your clinic
for a follow-up Echocardiogram.
Parasternal Long Axis Views:
Based on these images which is your diagnosis?
A) Severe degenerative aortic stenosis
B) Patient arrested and became asystolic during procedure
C) Patient is supported by a left ventricular assist device
D) Patient Has an ECMO device
Correct answer is: C) Patient is supported by LVAD
– Note that Aortic valve does not open during systole or diastole.
– Note presence of thrombus on aortic surface of aortic valve
– Note LVAD inflow cannula in Left ventricle on short axis images
•After LAVD, aortic valve thrombus can be due to persistent closure of the aortic valve and stasis of blood in the aortic sinus.
•Goodman J, Lerakis S. The Aortic Valve: The Gatekeeper of the LVAD. CASE (Phila). 2020 Jun 24;4(5):341-342. doi: 10.1016/j.case.2020.05.015. PMID: 33117924; PMCID: PMC7581613.
•Rev Esp Cardiol. 2005;58(7):863
