Thrombolytic Action of Apixaban on Intra-Atrial Thrombus Developed after Previous Treatment with Warfarin: A Case Report

OBJECTIVE: To highlight the usefulness of apixaban on intra-atrial thrombus that develops after previous treatment with warfarin. CLINICAL PRESENTATION AND INTERVENTION: A 69-year-old woman with a history of atrial fibrillation treated with warfarin presented with acute decompensated heart failure d...

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Detalles Bibliográficos
Autores principales: Valero, Ernesto, Santas, Enrique, Núñez, Julio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5588439/
https://www.ncbi.nlm.nih.gov/pubmed/27296851
http://dx.doi.org/10.1159/000447539
Descripción
Sumario:OBJECTIVE: To highlight the usefulness of apixaban on intra-atrial thrombus that develops after previous treatment with warfarin. CLINICAL PRESENTATION AND INTERVENTION: A 69-year-old woman with a history of atrial fibrillation treated with warfarin presented with acute decompensated heart failure due to an episode of atrial fibrillation. Transesophageal echocardiogram revealed the presence of an intra-atrial thrombus. She was treated with apixaban, and transesophageal echocardiogram showed complete resolution of the thrombus after 3 weeks of treatment. CONCLUSION: This case highlights the usefulness of apixaban in the management of atrial fibrillation and proven intra-atrial thrombus.

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