64-MDCT showed the thrombus in the pulmonary vein of the patient with angina pectoris.

The vast majority of intracardiac thrombi of the patients with atrial fibrillation (AF) are reported to be in the left atrial appendage, which is thought to be an annual 6% to 10% risk. AF is responsible for 10% of ischaemic stroke. There have been few reports about the pulmonary vein thrombi. 64-Multidetector CT (64-MDCT) scan has recently become an optional diagnostic method for the assessment of coronary artery plaque. This study shows the pulmonary vein thrombus by 64-MDCT scan. The patient was a 79-year-old man and had hypertension, chest pain and no AF. 64-MDCT scan demonstrated 17.2×1.2×1.3 mm thrombus in the proximal side of the left upper pulmonary vein (LUPV). The distal portion of thrombus was seen to be attached to the wall of LUPV. This is the first report to show the pulmonary vein thrombus of the patient with hypertension, chest pain and no AF.