title: A potential role of ECG-gated CT for the diagnosis of pulmonary vein thrombus: an illustrative case report.
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.
authors: Department of Radiology, University of Kentucky Chandler Medical Center, Lexington, KY 40536-0293. Electronic address: Michael.Winker@uky.edu.
authors: Michael A
authors: MA
authors: Winkler
authors: Department of Radiology, University of Kentucky Chandler Medical Center, Lexington, KY 40536-0293.
authors: Paul
authors: P
authors: von Herrmann
authors: Department of Radiology, University of Kentucky Chandler Medical Center, Lexington, KY 40536-0293.
authors: Ryan H
authors: RH
authors: Penticuff
authors: Department of Radiology, University of Kentucky Chandler Medical Center, Lexington, KY 40536-0293.
authors: Palak M
authors: PM
authors: Majmudar
authors: Department of Radiology, University of Kentucky Chandler Medical Center, Lexington, KY 40536-0293.
authors: Benjamin R
authors: BR
authors: Plaisance
authors: Department of Radiology, University of Kentucky Chandler Medical Center, Lexington, KY 40536-0293.
authors: Stephen B
authors: SB
authors: Hobbs
authors: Department of Radiology, University of Kentucky Chandler Medical Center, Lexington, KY 40536-0293.
authors: Michael A
authors: MA
authors: Brooks
mesh_terms: D004452:Echocardiography; D004562:Electrocardiography; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009360:Neoplastic Cells, Circulating; D011667:Pulmonary Veins / Q000000981:diagnostic imaging*; D012307:Risk Factors; D014057:Tomography, X-Ray Computed / Q000379:methods*; D020246:Venous Thrombosis / Q000175:diagnosis*
keywords: Clinical decision making; Computed tomography; ECG-gated; Pulmonary veins; Thrombus