Large Mobile Left Ventricular Thrombi Formation in a 32-Year-Old Despite Direct Oral Anticoagulation With Dabigatran

Direct oral anticoagulant agents (DOACs) are widely used in the treatment of arterial and venous thrombi. We report the case of a 32-year-old patient who was receiving permanent DOAC therapy. Despite adequate use, 2 large left ventricular thrombi developed. Surgical thrombectomy was performed. The p...

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Bibliographic Details
Published inJACC. Case reports Vol. 4; no. 16; pp. 1015 - 1019
Main Authors Weberling, Lukas Damian, Steen, Henning, Frey, Norbert, André, Florian
Format Journal Article
LanguageEnglish
Published Elsevier Inc 17.08.2022
Elsevier
Subjects
Case Report
CMR
DOAC
thrombus
STEMI
case report
CMR
LV
thrombus
DOAC
VKA
LAD
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Summary:Direct oral anticoagulant agents (DOACs) are widely used in the treatment of arterial and venous thrombi. We report the case of a 32-year-old patient who was receiving permanent DOAC therapy. Despite adequate use, 2 large left ventricular thrombi developed. Surgical thrombectomy was performed. The patient recovered well and received anticoagulation with phenprocoumon thereafter. (Level of Difficulty:Beginner.) [Display omitted]
ISSN:2666-0849
2666-0849
DOI:10.1016/j.jaccas.2022.05.033