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The use of Apixaban for the treatment of an LV thrombus

Summary

A 42-year-old male was admitted with shortness of breath secondary to suspected heart failure and chest infection. An echocardiogram revealed a dilated and impaired left ventricle; ejection fraction 29%, with a large, mobile thrombus within the left ventricular apex. Due to the presence of liver dysfunction, vitamin K antagonists were deemed inappropriate; thus, the decision was taken to use the novel anticoagulation agent Apixaban. After 6 days of receiving Apixaban, a cardiac magnetic resonance scan was preformed, which showed complete resolution of the LV apical thrombus.

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Correspondence to Sadie Bennett BSc MSc.

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Bennett, S., Satchithananda, D. The use of Apixaban for the treatment of an LV thrombus. Echo Res Pract 5, K63–K66 (2018). https://doi.org/10.1530/ERP-18-0036

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