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Updated: Jun 5, 2025

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
A case of pulmonary vein thrombosis with transient ischemic attacks diagnosed by contrast-enhanced computed
Yoshimasa Ogata1, Keisuke Aita1, Juri Maeda1
1Division of Respiratory Medicine, Third Department of Medicine Teikyo University Chiba Medical Center Chiba Japan.
Abstract:
Pulmonary vein thrombosis (PVT) is rarer than pulmonary artery thrombosis (PAT). PVT is potentially fatal but is often overlooked due to its nonspecific symptoms. We present a case with PVT accompanied by paroxysmal atrial fibrillation. The symptoms were limited to transient ischemic attacks. Contrast-enhanced computed tomography (CT), which showed a thrombus in the right pulmonary vein trunk, was useful in diagnosing PVT. After switching the patient's anticoagulant from dabigatran etexilate to apixaban, the thrombus disappeared within 5 months. Contrast-enhanced CT is a useful and common tool for diagnosis and follow-up of PVT.
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