Successful Resolution of a Large Left Atrial and Left Atrial Appendage Thrombus with Rivaroxaban
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. T...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2019/6076923 |
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| author | Safwan Gaznabi Ashraf Abugroun Hasan Mahbub Enrique Campos |
| author_facet | Safwan Gaznabi Ashraf Abugroun Hasan Mahbub Enrique Campos |
| author_sort | Safwan Gaznabi |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-436040052ed640f9ad843d1da631a880 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-436040052ed640f9ad843d1da631a8802025-02-03T06:10:51ZengWileyCase Reports in Cardiology2090-64042090-64122019-01-01201910.1155/2019/60769236076923Successful Resolution of a Large Left Atrial and Left Atrial Appendage Thrombus with RivaroxabanSafwan Gaznabi0Ashraf Abugroun1Hasan Mahbub2Enrique Campos3Department of Internal Medicine, Advocate Illinois Masonic Medical Center, 836 W Wellington Ave., Chicago, IL 60657, USADepartment of Internal Medicine, Advocate Illinois Masonic Medical Center, 836 W Wellington Ave., Chicago, IL 60657, USADepartment of Internal Medicine, Flushing Hospital Medical Center, 4500 Parsons Blvd, Flushing, NY 11355, USADepartment of Cardiology, Advocate Illinois Masonic Medical Center, 836 W Wellington Ave, Chicago, IL 60657, USAA 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.http://dx.doi.org/10.1155/2019/6076923 |
| spellingShingle | Safwan Gaznabi Ashraf Abugroun Hasan Mahbub Enrique Campos Successful Resolution of a Large Left Atrial and Left Atrial Appendage Thrombus with Rivaroxaban Case Reports in Cardiology |
| title | Successful Resolution of a Large Left Atrial and Left Atrial Appendage Thrombus with Rivaroxaban |
| title_full | Successful Resolution of a Large Left Atrial and Left Atrial Appendage Thrombus with Rivaroxaban |
| title_fullStr | Successful Resolution of a Large Left Atrial and Left Atrial Appendage Thrombus with Rivaroxaban |
| title_full_unstemmed | Successful Resolution of a Large Left Atrial and Left Atrial Appendage Thrombus with Rivaroxaban |
| title_short | Successful Resolution of a Large Left Atrial and Left Atrial Appendage Thrombus with Rivaroxaban |
| title_sort | successful resolution of a large left atrial and left atrial appendage thrombus with rivaroxaban |
| url | http://dx.doi.org/10.1155/2019/6076923 |
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