Cardiac surgery artifact
- Surgical artifacts such as sternotomy wires and metallic heart valves are common artifacts seen on chest X-rays
- This patient also has a single chamber pacemaker
- Note the signs of heart failure – large heart, prominent upper zone vessels and pulmonary oedema
CABG clips
- Patients who have had coronary artery bypass grafts (CABG) will often have visible metallic vascular clips seen on their post-operative chest X-ray
- These clips are placed to prevent flow through the branches of the internal mammary arteries which are used to form the coronary artery bypass
Prosthetic heart valves
- This patient had previously undergone mitral and aortic valve replacement surgery – see the metallic heart valve artifact
- New signs of heart failure are evident – large heart, prominent upper zone vessels, septal lines (Kerley B lines), and pleural effusions