A 66 year-old female presented with refractory acute congestive heart failure, cardiogenic shock, and ventricular tachyarrhythmia. Veno-arterial extracorporeal membrane oxygenation (ECMO) was placed via femoral cannulation for salvage and stabilized. CAT scan of the chest performed as a part of heart transplant work-up, demonstrated an unequal distribution of intravenous contrast in the aortic arch (Figure 1). Radiologist’s preliminary reading was of “aortic dissection” while in fact this is truly “normal ECMO flow”.
Recommended CitationBatista, Philip; Cavarocchi, Nicholas C.; and Hirose, Hitoshi, "Extracorporeal Membranous Oxygenation Mimics Aortic Dissection on CAT Scan." (2013). Department of Surgery Faculty Papers. Paper 80.