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Unknown Case
Authored By: Andrew Homb and Jerold Wallis, Assoc Prof of Radiology.
Patient: 53 year old female
History:

53 year old female with ischemic cardiomyopathy necesitating placement of a 2nd-generation left ventricular assist device (LVAD). The patient presents with a melena while on warfarin and clopidogrel.  See figures 1-3

 

What is your interpretation of this study and what is the next step in management?

  

Findings and intervention performed?  (figures 4-9)

 

What additional procedure may be helpful in determining a diagnosis? (see figure 10)

 

 

Image Size:[small][as-submitted]

Multimedia: 245472_1_submitted.avi
Anterior GI Bleeding Scintigraphy Cine

Multimedia: 245472_2_submitted.avi
Posterior GI Bleeding Scintigraphy Cine

Fig. 3
GI Bleeding Scintigraphy

Fig. 4
Pretherapy Angiography 1

Fig. 5
Pretherapy Angiography 2

Fig. 6
Pretherapy Angiography 3

Fig. 7
Therapy Angiography 4

Fig. 8
Therapy Angiography 5

Fig. 9
Post Therapy Angiography 6

Fig. 10
Colonoscopy
Image Size:[small][as-submitted]

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Additional Details:

Case [View Case with Diagnosis]Owner(s): Andrew Homb and Jerold Wallis, Assoc Prof of RadiologyLast Updated: 02-07-2013
Anatomy: Gastrointestinal (GI)   Pathology: Vascular
Modality: Nuc Med, AngiographyAccess Level: Readable by all users, writable by NucMed Certifiers
Keywords: ginm

Case has been viewed 44 times.
Certified by Jerold Wallis on 07-28-2010

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