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Review
. 2018 Jan-Mar;21(1):76-77.
doi: 10.4103/aca.ACA_146_17.

Successful resolution with apixaban of a massive left atrial appendage thrombus due to nonrheumatic atrial fibrillation: A case report and review

Bader Abu Ghalyoun  1 , Matthew Lempel  1 , Hamid Shaaban  2 , Fayez Shamoon  1
Affiliations
Review

Successful resolution with apixaban of a massive left atrial appendage thrombus due to nonrheumatic atrial fibrillation: A case report and review

Bader Abu Ghalyoun et al. Ann Card Anaesth. 2018 Jan-Mar.

Abstract

A 32-year-old woman with a past medical history of paroxysmal atrial fibrillation, long QT syndrome, and implantation of an automatic iimplantable cardioverter-defibrillator (AICD) following cardiac arrest presented with disabling symptoms of paroxysmal atrial fibrillation due to recurrent AICD shocks. Before curative ablation, transesophageal echocardiography was performed to assess for existing thrombi. This is a rare case of successful resolution with apixaban of a massive left atrial appendage thrombus due to non-rheumatic atrial fibrillation that was successfully treated with apixaban.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a and b) Tee done Revealed A 3.9 cm × 2.86 cm LAA thrombus
Figure 2
Figure 2
(a and b) Tee done revealed resolution of atrial thrombus after apixaban therapy
See this image and copyright information in PMC

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