case_images: PMC5791503_01
case_images: Mid-esophageal-four-chamber view with inflow cannula of HeartWare device (white arrow)
case_images: ACA-21-92-g001.jpg
case_images: PMC5791503_01_ACA-21-92-g001.jpg
case_images: F1
case_images: Two-dimensional TEE post-cardiopulmonary bypass and after HVAD implantation showed a normal apical positioning of the inflow cannula in the mid-esophageal four-chamber view [Figure 1].
case_images: Mid-esophageal ascending aorta long-axis view with outflow cannula of HeartWare device (white arrow)
case_images: ACA-21-92-g002.jpg
case_images: PMC5791503_01_ACA-21-92-g002.jpg
case_images: F2
case_images: The outflow cannula was visualized in mid-esophageal ascending aorta long axis view with flow confirmed using color flow Doppler [Figure 2].
case_images: Spectral velocity pattern of the outflow cannula of HeartWare device showing systolic (S) and diastolic (D) flow
case_images: ACA-21-92-g003.jpg
case_images: PMC5791503_01_ACA-21-92-g003.jpg
case_images: F3
case_images: The spectral velocity pattern in an outflow cannula can also be seen showing characteristic systolic peak and diastolic nadir [Figure 3].
case_images: Mid-esophageal four-chamber view with inflow cannula of HeartWare device showing centrifugal color Doppler pattern within the device (arrows)
case_images: ACA-21-92-g004.jpg
case_images: PMC5791503_01_ACA-21-92-g004.jpg
case_images: F4
case_images: On further examination, a centrifugal color flow pattern can be seen from the inflow cannula apex, diverging outward to take the shape of the HVAD flow chamber, consistent with the centrifugal blood flow within a HVAD device [Figure 4].