Archives of the
Turkish Society of Cardiology
Case report - Echocardiography

Resolution of left ventricular thrombus with apixaban in a patient with hypertrophic cardiomyopathy


Dr. Siyami Ersek Göğüs Ve Kalp Damar Cerrahisi Eğitim Ve Araştırma Hastanesi, İstanbul,türkiye

Archives of the Turkish Society of Cardiology 2016; 44: 335-337
DOI: 10.5543/tkda.2015.68054
Read: 544 Downloads: 174 Published: 01 July 2021

Summary– Anticoagulation with warfarin is the main treatment of intracardiac thrombus. While novel oral anticoagulants (NOACs) have been approved by the US Food and Drug Administration (FDA) for stroke prevention in patients with nonvalvular atrial fibrillation (AF), they are not indicated for resolution of intracardiac thrombus. The case of a 60-year-old woman with left ventricular (LV) thrombus secondary to hypertrophic cardiomyopathy and AF is described in the present report. Indications for oral anticoagulation were AF and LV thrombus. Thrombus was dissolved after 1 month of apixaban treatment. To the best of our knowledge, this is the first report that describes the resolution of LV thrombus with apixaban treatment in a patient with hypertrophic cardiomyopathy.

ISSN 1016-5169 EISSN 1308-4488