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Published on: January 18, 2018
Management and Follow-Up of Biventricular Thrombi
Wahab J Khan1, Muhammad Asif2, Ifrah Nadeem1
1Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, USA.
Insights
Biventricular thrombus, a rare cardiac condition, was successfully treated using both warfarin and rivaroxaban. This case report highlights a potential treatment strategy for this uncommon intracardiac lesion.
Area of Science:
- Cardiology
- Thrombosis Research
Background:
- Intracardiac thrombi are common, often linked to ventricular dysfunction post-myocardial infarction or in cardiomyopathies.
- Concurrent biventricular thrombus formation is a rare clinical presentation.
- Established treatment guidelines for biventricular thrombi are lacking.
Abstract:
A thrombus is the most common intracardiac lesion. Isolated thrombi usually occur in the setting of ventricular dysfunction, such as a dyskinetic or hypokinetic myocardial wall, following an acute myocardial infarction (MI) or in cardiomyopathies (CM). Concurrent biventricular thrombus formation is rare. There are no clear guidelines for the treatment of biventricular thrombus. In this report, we describe our experience of the successful treatment of a case of biventricular thrombus with warfarin and rivaroxaban.
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