Open AccessTreatment of left ventricular thrombus by rivaroxaban: An echocardiographic case report
Author(s) -
Do Van Chien
Publication year - 2021
Publication title -
y dược lâm sàng 108
Language(s) - English
Resource type - Journals
eISSN - 1859-2880
pISSN - 1859-2872
DOI - 10.52389/ydls.v16ita.1097
Subject(s) - rivaroxaban , left ventricular thrombus , thrombus , medicine , cardiology , stroke (engine) , warfarin , atrial fibrillation , mechanical engineering , engineering
Treatment of left ventricular thrombus is challenging work for the clinician. Current guidelines recommend vitamin K antagonists for thrombus resolution, however there is a growing evidence that rivaroxaban can be used in selected cases. In the paper, we report a 47 year-old-man with a large left ventricular thrombus (60x70mm) which was treated with 10 month 15mg rivaroxaban twice per day. The outcome was total resolution of left ventricular thrombus. During the treatment course, there was an episode of stroke which was completely recovered. The patient was followed up for further recurrence of LV thrombus after stopping rivaroxaban at 10-month.