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A potential role of ECG-gated CT for the diagnosis of pulmonary vein thrombus: an illustrative case report

Published:November 21, 2014DOI:https://doi.org/10.1016/j.clinimag.2014.11.012

      Abstract

      The presence of tumor thrombus in patients with lung cancer confers a risk of stroke and other end-organ ischemic events. This case highlights a potential role for electrocardiogram (ECG)-gated computed tomography (CT) in the diagnosis of this pathologic process. In this case, pulmonary vein thrombus was definitively identified by an ECG-CT following discordant results between CT and transthoracic echocardiogram. In addition, this case demonstrates how management decisions are affected by physician accessibility to and familiarity with specific imaging tests.

      Abbreviations:

      CT (Computed tomography), MRI (Magnetic resonance imaging), DWI (Diffusion weighted imaging), TTE (Transthoracic echocardiogram), ECG (Electrocardiogram), TEE (Transesophageal echocardiogram), ICU (Intensive care unit)

      Keywords

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