To treat or not to treat: left ventricular thrombus in a patient with cerebral amyloid angiopathy: a case report.
Alexander D HiltIngeborg RasingMartin Jan SchalijMarieke J H WermerPublished in: European heart journal. Case reports (2020)
Evidence for LV thrombus treatment with direct oral anticoagulants in CAA patients is scarce, however feasible based on its efficacy and safety profile. For CAA patients, the cardinal role of both clinical and radiological characteristics in determining the risk-benefit ratio for anticoagulant initiation in this specific subset of patients, is crucial. The clinical course described highlights the therapeutical dilemma of coexisting CAA and the clinical challenge it creates.
Keyphrases
- end stage renal disease
- ejection fraction
- newly diagnosed
- chronic kidney disease
- left ventricular
- peritoneal dialysis
- venous thromboembolism
- prognostic factors
- atrial fibrillation
- direct oral anticoagulants
- heart failure
- acute myocardial infarction
- coronary artery disease
- patient reported outcomes
- brain injury
- transcatheter aortic valve replacement
- aortic valve