{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T02:24:32Z","timestamp":1782872672752,"version":"3.54.5"},"reference-count":5,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Pulmonary vein thrombosis (PVT) is a rare but life-threatening condition. Although warfarin reduces the risk of atrial fibrillation (AF)-related stroke by 64%, the use of this drug has some limitations. Dabigatran is a relatively novel therapeutic option for patients with AF. The mechanism of action of dabigatran is unclear, and its ability to dissolve pulmonary vein thrombi is uncertain. Scans from a 64-slice multidetector CT (64-MDCT) scanner can evaluate coronary artery stenosis and detect left atrial appendage thrombi and pulmonary vein thrombi. A 73-year-old male patient presented with chest pain, and a 64-MDCT scan was performed to assess coronary artery stenosis. The 64-MDCT scan showed no stenosis but it did reveal a thrombus located in the centre of the left upper pulmonary vein. After 3\u2005months of dabigatran therapy, the thrombus disappeared. This is the first case report of dabigatran dissolving a left upper pulmonary vein thrombus, as assessed by a 64-MDCT scan.<\/jats:p>","DOI":"10.1136\/bcr-2013-200836","type":"journal-article","created":{"date-parts":[[2013,10,9]],"date-time":"2013-10-09T11:40:31Z","timestamp":1381318831000},"page":"bcr2013200836","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":17,"title":["Floating thrombus in the left upper pulmonary vein dissolved by dabigatran"],"prefix":"10.1136","volume":"2013","author":[{"given":"Hidekazu","family":"Takeuchi","sequence":"first","affiliation":[{"name":"Nagasakiken Tomie Hospital, Goto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2013,10,9]]},"reference":[{"key":"2025082803280159000_2013.oct09_1.bcr2013200836.1","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1378\/chest.104.2.624","article-title":"Pulmonary vein thrombosis","volume":"2013","author":"Kim","year":"1993","journal-title":"Chest"},{"key":"2025082803280159000_2013.oct09_1.bcr2013200836.2","doi-asserted-by":"crossref","first-page":"857","DOI":"10.7326\/0003-4819-146-12-200706190-00007","article-title":"Meta-analysis: antithrombotic therapy to prevent stroke in patients who have nonvalvular atrial fibrillation","volume":"2013","author":"Hart","year":"2007","journal-title":"Ann Intern Med"},{"key":"2025082803280159000_2013.oct09_1.bcr2013200836.3","doi-asserted-by":"crossref","first-page":"e7097","DOI":"10.1136\/bmj.e7097","article-title":"Primary and secondary prevention with new oral anticoagulant drugs for stroke prevention in atrial fibrillation: indirect comparison analysis","volume":"2013","author":"Rasmussen","year":"2012","journal-title":"BMJ"},{"key":"2025082803280159000_2013.oct09_1.bcr2013200836.4","doi-asserted-by":"crossref","unstructured":"Takeuchi H . A thrombus of the right upper pulmonary vein: detection by the use of a 64-MDCT. BMJ Case Rep. Published Online: 14 Sept 2012. doi:10.1136\/bcr.12.2011.5446","DOI":"10.1136\/bcr.12.2011.5446"},{"key":"2025082803280159000_2013.oct09_1.bcr2013200836.5","doi-asserted-by":"crossref","first-page":"98","DOI":"10.5811\/westjem.2011.5.6762","article-title":"More than just another pulmonary embolism","volume":"2013","author":"Schmitt","year":"2012","journal-title":"West J Emerg Med"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-200836","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:28:09Z","timestamp":1756376889000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-200836"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,10,9]]},"references-count":5,"alternative-id":["10.1136\/bcr-2013-200836"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-200836","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,10,9]]}}}