Resolution of left ventricular thrombus secondary to tachycardia-induced heart failure with rivaroxaban.
Kosuke NakasukaShigenori ItoTsubasa NodaTakahiro HasuoSatoru SekimotoHiroyuki OhmoriMasahiko InomataTakayuki YoshidaNozomu TamaiTomoaki SaekiShin SuzukiYoshimasa MurakamiKoichi SatoPublished in: Case reports in medicine (2014)
A 42-year-old man was admitted to our hospital because of lumbago and tachycardia-induced heart failure. Transthoracic echocardiography revealed impaired left ventricular function and a ball mass of thrombus in the left ventricle (LV). He was found to have systemic embolism in the spleen, kidneys, brain, and limbs. The patient was treated with limb thrombectomy followed by anticoagulation. Seven days after the direct factor Xa inhibitor, rivaroxaban, was initiated, transthoracic echocardiography was repeated, revealing disappearance of the LV thrombus without any clinical signs of cardiogenic embolism. His heart failure responded well and the LV wall motion had improved. This case suggests rivaroxaban has fibrinolytic effects on thrombi even in the LV.
Keyphrases
- left ventricular
- heart failure
- atrial fibrillation
- venous thromboembolism
- cardiac resynchronization therapy
- catheter ablation
- mitral valve
- hypertrophic cardiomyopathy
- left atrial
- acute myocardial infarction
- high glucose
- pulmonary embolism
- aortic stenosis
- diabetic rats
- pulmonary hypertension
- drug induced
- acute heart failure
- pulmonary artery
- computed tomography
- percutaneous coronary intervention
- case report
- single cell
- emergency department
- high speed
- aortic valve
- coronary artery disease
- newly diagnosed
- brain injury
- acute coronary syndrome
- high resolution