Resolution of Left Ventricular Thrombus Secondary to Tachycardia-Induced Heart Failure with Rivaroxaban
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, b...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/814524 |
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| author | Kosuke Nakasuka Shigenori Ito Tsubasa Noda Takahiro Hasuo Satoru Sekimoto Hiroyuki Ohmori Masahiko Inomata Takayuki Yoshida Nozomu Tamai Tomoaki Saeki Shin Suzuki Yoshimasa Murakami Koichi Sato |
| author_facet | Kosuke Nakasuka Shigenori Ito Tsubasa Noda Takahiro Hasuo Satoru Sekimoto Hiroyuki Ohmori Masahiko Inomata Takayuki Yoshida Nozomu Tamai Tomoaki Saeki Shin Suzuki Yoshimasa Murakami Koichi Sato |
| author_sort | Kosuke Nakasuka |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-a57a604a7a5c44199661e1c613a27ff7 |
| institution | OA Journals |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-a57a604a7a5c44199661e1c613a27ff72025-08-20T02:20:37ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/814524814524Resolution of Left Ventricular Thrombus Secondary to Tachycardia-Induced Heart Failure with RivaroxabanKosuke Nakasuka0Shigenori Ito1Tsubasa Noda2Takahiro Hasuo3Satoru Sekimoto4Hiroyuki Ohmori5Masahiko Inomata6Takayuki Yoshida7Nozomu Tamai8Tomoaki Saeki9Shin Suzuki10Yoshimasa Murakami11Koichi Sato12Division of Cardiology, Nagoya City East Medical Center, 1-2-23 Wakamizu, Chikusa-ku, Nagoya-shi, Aichi 464-8547, JapanDivision of Cardiology, Nagoya City East Medical Center, 1-2-23 Wakamizu, Chikusa-ku, Nagoya-shi, Aichi 464-8547, JapanDivision of Cardiology, Nagoya City East Medical Center, 1-2-23 Wakamizu, Chikusa-ku, Nagoya-shi, Aichi 464-8547, JapanDivision of Cardiology, Nagoya City East Medical Center, 1-2-23 Wakamizu, Chikusa-ku, Nagoya-shi, Aichi 464-8547, JapanDivision of Cardiology, Nagoya City East Medical Center, 1-2-23 Wakamizu, Chikusa-ku, Nagoya-shi, Aichi 464-8547, JapanDivision of Cardiology, Nagoya City East Medical Center, 1-2-23 Wakamizu, Chikusa-ku, Nagoya-shi, Aichi 464-8547, JapanDivision of Cardiology, Nagoya City East Medical Center, 1-2-23 Wakamizu, Chikusa-ku, Nagoya-shi, Aichi 464-8547, JapanDivision of Cardiology, Nagoya City East Medical Center, 1-2-23 Wakamizu, Chikusa-ku, Nagoya-shi, Aichi 464-8547, JapanDivision of Cardiology, Nagoya City East Medical Center, 1-2-23 Wakamizu, Chikusa-ku, Nagoya-shi, Aichi 464-8547, JapanDivision of Cardiology, Nagoya City East Medical Center, 1-2-23 Wakamizu, Chikusa-ku, Nagoya-shi, Aichi 464-8547, JapanDivision of Cardiology, Nagoya City East Medical Center, 1-2-23 Wakamizu, Chikusa-ku, Nagoya-shi, Aichi 464-8547, JapanDivision of Cardiology, Nagoya City East Medical Center, 1-2-23 Wakamizu, Chikusa-ku, Nagoya-shi, Aichi 464-8547, JapanDivision of Cardiology, Nagoya City East Medical Center, 1-2-23 Wakamizu, Chikusa-ku, Nagoya-shi, Aichi 464-8547, JapanA 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.http://dx.doi.org/10.1155/2014/814524 |
| spellingShingle | Kosuke Nakasuka Shigenori Ito Tsubasa Noda Takahiro Hasuo Satoru Sekimoto Hiroyuki Ohmori Masahiko Inomata Takayuki Yoshida Nozomu Tamai Tomoaki Saeki Shin Suzuki Yoshimasa Murakami Koichi Sato Resolution of Left Ventricular Thrombus Secondary to Tachycardia-Induced Heart Failure with Rivaroxaban Case Reports in Medicine |
| title | Resolution of Left Ventricular Thrombus Secondary to Tachycardia-Induced Heart Failure with Rivaroxaban |
| title_full | Resolution of Left Ventricular Thrombus Secondary to Tachycardia-Induced Heart Failure with Rivaroxaban |
| title_fullStr | Resolution of Left Ventricular Thrombus Secondary to Tachycardia-Induced Heart Failure with Rivaroxaban |
| title_full_unstemmed | Resolution of Left Ventricular Thrombus Secondary to Tachycardia-Induced Heart Failure with Rivaroxaban |
| title_short | Resolution of Left Ventricular Thrombus Secondary to Tachycardia-Induced Heart Failure with Rivaroxaban |
| title_sort | resolution of left ventricular thrombus secondary to tachycardia induced heart failure with rivaroxaban |
| url | http://dx.doi.org/10.1155/2014/814524 |
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