{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T12:33:28Z","timestamp":1758630808990,"version":"3.44.0"},"reference-count":31,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2016,8,1]],"date-time":"2016-08-01T00:00:00Z","timestamp":1470009600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2016,8,1]],"date-time":"2016-08-01T00:00:00Z","timestamp":1470009600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","journal.chestnet.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["CHEST"],"published-print":{"date-parts":[[2016,8]]},"DOI":"10.1016\/j.chest.2016.02.680","type":"journal-article","created":{"date-parts":[[2016,8,5]],"date-time":"2016-08-05T05:31:21Z","timestamp":1470375081000},"page":"e41-e47","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["A 57-Year-Old Man With Insidious Dyspnea and Nonpleuritic Chest and Back Pain"],"prefix":"10.1016","volume":"150","author":[{"given":"Kenta","family":"Nakamura","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George A.","family":"Alba","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan A.","family":"Scheske","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nandini M.","family":"Meyersohn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James R.","family":"Stone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gus J.","family":"Vlahakes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cameron D.","family":"Wright","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian B.","family":"Ghoshhajra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David M.","family":"Dudzinski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.chest.2016.02.680_bib1","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1161\/CIRCIMAGING.111.968610","article-title":"Reference values for normal pulmonary artery dimensions by noncontrast cardiac computed tomography: the Framingham Heart Study","volume":"5","author":"Truong","year":"2012","journal-title":"Circ Cardiovasc Imaging"},{"issue":"16","key":"10.1016\/j.chest.2016.02.680_bib2","doi-asserted-by":"crossref","first-page":"2250","DOI":"10.1161\/CIRCULATIONAHA.109.192230","volume":"119","author":"McLaughlin","year":"2009","journal-title":"Circulation"},{"issue":"25\u00a0Suppl","key":"10.1016\/j.chest.2016.02.680_bib3","doi-asserted-by":"crossref","first-page":"D42","DOI":"10.1016\/j.jacc.2013.10.032","article-title":"Definitions and diagnosis of pulmonary hypertension","volume":"62","author":"Hoeper","year":"2013","journal-title":"J\u00a0Am Coll Cardiol"},{"issue":"20","key":"10.1016\/j.chest.2016.02.680_bib4","doi-asserted-by":"crossref","first-page":"2493","DOI":"10.1093\/eurheartj\/ehp297","volume":"30","author":"Galie","year":"2009","journal-title":"Eur Heart J"},{"issue":"16","key":"10.1016\/j.chest.2016.02.680_bib5","doi-asserted-by":"crossref","first-page":"1788","DOI":"10.1161\/CIR.0b013e318214914f","article-title":"Management of massive and submassive pulmonary embolism, iliofemoral deep vein thrombosis, and chronic thromboembolic pulmonary hypertension: a scientific statement from the American Heart Association","volume":"123","author":"Jaff","year":"2011","journal-title":"Circulation"},{"issue":"43","key":"10.1016\/j.chest.2016.02.680_bib6","doi-asserted-by":"crossref","first-page":"3033","DOI":"10.1093\/eurheartj\/ehu283","article-title":"2014 ESC guidelines on the diagnosis and management of acute pulmonary embolism","volume":"35","author":"Konstantinides","year":"2014","journal-title":"Eur Heart J"},{"issue":"2","key":"10.1016\/j.chest.2016.02.680_bib7","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1016\/j.chest.2015.11.026","article-title":"Antithrombotic therapy for VTE disease: Chest Guideline and Expert Panel Report","volume":"149","author":"Kearon","year":"2016","journal-title":"Chest"},{"issue":"12","key":"10.1016\/j.chest.2016.02.680_bib8","doi-asserted-by":"crossref","first-page":"2245","DOI":"10.1016\/S0735-1097(03)00479-0","article-title":"Right heart thrombi in pulmonary embolism: results from the International Cooperative Pulmonary Embolism Registry","volume":"41","author":"Torbicki","year":"2003","journal-title":"J\u00a0Am Coll Cardiol"},{"issue":"10","key":"10.1016\/j.chest.2016.02.680_bib9","doi-asserted-by":"crossref","first-page":"1433","DOI":"10.1016\/S0002-9149(97)00162-8","article-title":"Prevalence and prognostic significance of right-sided cardiac mobile thrombi in acute massive pulmonary embolism","volume":"79","author":"Casazza","year":"1997","journal-title":"Am J Cardiol"},{"issue":"2","key":"10.1016\/j.chest.2016.02.680_bib10","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1177\/1358863X15569009","article-title":"Comparative efficacy of different modalities for treatment of right heart thrombi in transit: a pooled analysis","volume":"20","author":"Athappan","year":"2015","journal-title":"Vasc Med"},{"issue":"1","key":"10.1016\/j.chest.2016.02.680_bib11","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1161\/CIRCULATIONAHA.115.015086","article-title":"Multidisciplinary pulmonary embolism response teams","volume":"133","author":"Dudzinski","year":"2016","journal-title":"Circulation"},{"issue":"12","key":"10.1016\/j.chest.2016.02.680_bib12","doi-asserted-by":"crossref","first-page":"1143","DOI":"10.1056\/NEJMcpc1403307","article-title":"Case records of the Massachusetts General Hospital. Case 29-2014. A\u00a060-year-old woman with syncope","volume":"371","author":"Kabrhel","year":"2014","journal-title":"N\u00a0Engl J Med"},{"issue":"6","key":"10.1016\/j.chest.2016.02.680_bib13","first-page":"387","article-title":"Pulmonary embolism response teams","volume":"17","author":"Reza","year":"2015","journal-title":"Curr Treatment Options Cardiovasc Med"},{"issue":"1","key":"10.1016\/j.chest.2016.02.680_bib14","doi-asserted-by":"crossref","first-page":"31","DOI":"10.3810\/hp.2014.02.1089","article-title":"The Massachusetts General Hospital Pulmonary Embolism Response Team (MGH PERT): creation of a multidisciplinary program to improve care of patients with massive and submassive pulmonary embolism","volume":"42","author":"Provias","year":"2014","journal-title":"Hosp Pract"},{"issue":"9","key":"10.1016\/j.chest.2016.02.680_bib15","doi-asserted-by":"crossref","first-page":"1021","DOI":"10.1067\/mje.2002.121279","article-title":"Thrombus-in-transit and paradoxical embolism","volume":"15","author":"Aggarwal","year":"2002","journal-title":"J\u00a0Am Soc Echocardiogr"},{"issue":"3","key":"10.1016\/j.chest.2016.02.680_bib16","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1007\/s11239-007-0063-3","article-title":"Echocardiographic diagnosis of a giant thrombus passing through a patent foramen ovale from right atrium to the left atrium","volume":"25","author":"Bugra","year":"2008","journal-title":"J\u00a0Thromb Thrombolysis"},{"issue":"4","key":"10.1016\/j.chest.2016.02.680_bib17","doi-asserted-by":"crossref","first-page":"955","DOI":"10.2214\/ajr.170.4.9530043","article-title":"Chronic thromboembolic pulmonary\u00a0hypertension: CT findings","volume":"170","author":"King","year":"1998","journal-title":"AJR Am J Roentgenol"},{"issue":"1","key":"10.1016\/j.chest.2016.02.680_bib18","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/S0025-6196(12)60336-X","article-title":"Incidence and size of patent foramen ovale during the first 10 decades of life: an autopsy study of 965 normal hearts","volume":"59","author":"Hagen","year":"1984","journal-title":"Mayo Clinic Proc"},{"issue":"2","key":"10.1016\/j.chest.2016.02.680_bib19","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1183\/09031936.00049312","article-title":"Risk factors and basic mechanisms of chronic thromboembolic pulmonary hypertension: a current understanding","volume":"41","author":"Lang","year":"2013","journal-title":"Eur Respir J"},{"issue":"8","key":"10.1016\/j.chest.2016.02.680_bib20","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1007\/s11886-015-0621-9","article-title":"Chronic thromboembolic pulmonary hypertension: the end result of pulmonary embolism","volume":"17","author":"Witkin","year":"2015","journal-title":"Curr Cardiol Rep"},{"issue":"1","key":"10.1016\/j.chest.2016.02.680_bib21","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1183\/09031936.00047712","article-title":"Vascular and right ventricular remodelling in chronic thromboembolic pulmonary hypertension","volume":"41","author":"Delcroix","year":"2013","journal-title":"Eur Respir J"},{"issue":"1","key":"10.1016\/j.chest.2016.02.680_bib22","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1161\/CIRCULATIONAHA.115.016524","article-title":"Progressive onset of extracardiac and myocardial symptoms: right heart failure and cor pulmonale in a young man with debilitating polyneuropathy and monoclonal gammopathy","volume":"132","author":"Nakamura","year":"2015","journal-title":"Circulation"},{"issue":"10","key":"10.1016\/j.chest.2016.02.680_bib23","doi-asserted-by":"crossref","first-page":"1325","DOI":"10.1161\/01.CIR.99.10.1325","article-title":"Pulmonary embolism: one-year follow-up with echocardiography doppler and five-year survival analysis","volume":"99","author":"Ribeiro","year":"1999","journal-title":"Circulation"},{"issue":"3","key":"10.1016\/j.chest.2016.02.680_bib24","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1183\/09031936.00058112","article-title":"Surgical treatment of chronic thromboembolic pulmonary hypertension","volume":"41","author":"Jenkins","year":"2013","journal-title":"Eur Respir J"},{"issue":"4","key":"10.1016\/j.chest.2016.02.680_bib25","doi-asserted-by":"crossref","first-page":"985","DOI":"10.1183\/09031936.00201612","article-title":"Chronic thromboembolic pulmonary hypertension: role of medical therapy","volume":"41","author":"Pepke-Zaba","year":"2013","journal-title":"Eur Respir J"},{"issue":"2","key":"10.1016\/j.chest.2016.02.680_bib26","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1016\/j.jtcvs.2009.12.056","article-title":"Survival after pulmonary thromboendarterectomy: effect of residual pulmonary hypertension","volume":"141","author":"Freed","year":"2011","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"issue":"10","key":"10.1016\/j.chest.2016.02.680_bib27","doi-asserted-by":"crossref","first-page":"1122","DOI":"10.1164\/rccm.200712-1841OC","article-title":"Improved outcomes in medically and surgically treated chronic thromboembolic pulmonary hypertension","volume":"177","author":"Condliffe","year":"2008","journal-title":"Am J Respir Crit Care Med"},{"issue":"12","key":"10.1016\/j.chest.2016.02.680_bib28","doi-asserted-by":"crossref","first-page":"1605","DOI":"10.1164\/rccm.201011-1854CI","article-title":"Chronic thromboembolic pulmonary hypertension","volume":"183","author":"Fedullo","year":"2011","journal-title":"Am J Respir Crit Care Med"},{"issue":"21","key":"10.1016\/j.chest.2016.02.680_bib29","doi-asserted-by":"crossref","first-page":"2779","DOI":"10.1161\/01.CIR.99.21.2779","article-title":"Free-floating thrombi in the right heart: diagnosis, management, and prognostic indexes in 38 consecutive patients","volume":"99","author":"Chartier","year":"1999","journal-title":"Circulation"},{"issue":"9162","key":"10.1016\/j.chest.2016.02.680_bib30","doi-asserted-by":"crossref","first-page":"1386","DOI":"10.1016\/S0140-6736(98)07534-5","article-title":"Acute pulmonary embolism: clinical outcomes in the International Cooperative Pulmonary Embolism Registry (ICOPER)","volume":"353","author":"Goldhaber","year":"1999","journal-title":"Lancet"},{"issue":"2","key":"10.1016\/j.chest.2016.02.680_bib31","first-page":"E81","article-title":"Thrombectomy using suction filtration and veno-venous bypass: single center experience with a novel device","volume":"86","author":"Donaldson","year":"2015","journal-title":"Catheter Cardiovasc Interv"}],"container-title":["CHEST"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0012369216426322?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0012369216426322?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T07:27:55Z","timestamp":1757921275000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0012369216426322"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,8]]},"references-count":31,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016,8]]}},"alternative-id":["S0012369216426322"],"URL":"https:\/\/doi.org\/10.1016\/j.chest.2016.02.680","relation":{},"ISSN":["0012-3692"],"issn-type":[{"type":"print","value":"0012-3692"}],"subject":[],"published":{"date-parts":[[2016,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"A 57-Year-Old Man With Insidious Dyspnea and Nonpleuritic Chest and Back Pain","name":"articletitle","label":"Article Title"},{"value":"CHEST","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.chest.2016.02.680","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}