Treatment of left ventricular thrombus by rivaroxaban: An echocardiographic case report

  • Do Van Chien 108 Military Central Hospital

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Keywords

Left ventricular thrombus, vitamin K antagonists, rivaroxaban

Abstract

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.

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References

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