Successful Resolution with Apixaban of a Massive Left Atrial Appendage Thrombus Due to Nonrheumatic Atrial Fibrillation: A Case Report and Review

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 shoc...

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Detalles Bibliográficos
Autores principales: Ghalyoun, Bader Abu, Lempel, Matthew, Shaaban, Hamid, Shamoon, Fayez
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5791497/
https://www.ncbi.nlm.nih.gov/pubmed/29336400
http://dx.doi.org/10.4103/aca.ACA_146_17
Descripción
Sumario: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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