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Successful Resolution of a Large Left Atrial and Left Atrial Appendage Thrombus with Rivaroxaban
Joint Authors
Abugroun, Ashraf
Gaznabi, Safwan
Mahbub, Hasan
Campos, Enrique
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-04-09
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
A 79-year-old male was admitted to the hospital for acute exacerbation of heart failure.
The patient had history of atrial fibrillation and was planned for cardioversion.
Preprocedure transesophageal echocardiogram (TEE) revealed a large multilobulated mobile thrombus in the left atrial appendage.
The patient refused warfarin therapy and instead chose to take rivaroxaban.
Upon outpatient follow-up, 3 months later, no visible thrombus was appreciated on repeat TEE.
This case demonstrates successful resolution of left atrial and left atrial appendage thrombi with the use of rivaroxaban.
At present time, limited data is available to support the use of rivaroxaban for treatment of intracardiac thrombi.
This case highlights the need for further studies to investigate the outcomes and relative efficiency of use of direct oral anticoagulants (DOACs) in lysis of intracardiac thrombus.
The benefits of DOACs compared to the standard of therapy could increase patient compliance, reduce length of stay, and improve treatment efficacy.
American Psychological Association (APA)
Gaznabi, Safwan& Abugroun, Ashraf& Mahbub, Hasan& Campos, Enrique. 2019. Successful Resolution of a Large Left Atrial and Left Atrial Appendage Thrombus with Rivaroxaban. Case Reports in Cardiology،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1133841
Modern Language Association (MLA)
Gaznabi, Safwan…[et al.]. Successful Resolution of a Large Left Atrial and Left Atrial Appendage Thrombus with Rivaroxaban. Case Reports in Cardiology No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1133841
American Medical Association (AMA)
Gaznabi, Safwan& Abugroun, Ashraf& Mahbub, Hasan& Campos, Enrique. Successful Resolution of a Large Left Atrial and Left Atrial Appendage Thrombus with Rivaroxaban. Case Reports in Cardiology. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1133841
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1133841