Left ventricular assist device on radiograph

An A-P radiograph (A) shows an LV assist device (Impella) with the inflow (short arrow) in the body of the LV and the pump and outflow (arrow) in the proximal ascending aorta. The dashed arrow indicates the approximate position of the aortic valve. Image B is a magnified view and shows the inflow component (short arrow) and the extension of the catheter in the LV (arrowheads). The dashed arrow shows the approximate position of the aortic valve. The pump and outflow are distal to the valve (arrow).