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Heart and Vessels
Published in: Heart and Vessels 4/2014

01-07-2014 | Case Report

Resolution of a left ventricular thrombus by the thrombolytic action of dabigatran

Authors: Yasutsugu Nagamoto, Tetsuya Shiomi, Taku Matsuura, Arihide Okahara, Kaoru Takegami, Daigo Mine, Takaharu Shirahama, Yasuaki Koga, Keiki Yoshida, Kenji Sadamatsu, Kiyoshi Hayashida

Published in: Heart and Vessels | Issue 4/2014

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Abstract

A 77-year-old man was referred to our cardiovascular department for detailed examination after abnormal electrocardiography findings were obtained during a preoperative cataract surgery workup. Ultrasound echocardiography (UCG) and computed tomography (CT) revealed evidence of previous myocardial infarction with anteroseptal akinesis and a left ventricular (LV) thrombus (14 × 12 mm). Dabigatran (220 mg/day) was prescribed as an outpatient treatment, and the disappearance of the LV thrombus was confirmed by UCG and CT 27 days after dabigatran initiation. No thromboembolism occurred between treatment initiation and thrombus resolution. Our results indicate that dabigatran has thrombolytic action on an acute pre-existing intracardiac thrombus.
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Metadata
Title
Resolution of a left ventricular thrombus by the thrombolytic action of dabigatran
Authors
Yasutsugu Nagamoto
Tetsuya Shiomi
Taku Matsuura
Arihide Okahara
Kaoru Takegami
Daigo Mine
Takaharu Shirahama
Yasuaki Koga
Keiki Yoshida
Kenji Sadamatsu
Kiyoshi Hayashida
Publication date
01-07-2014
Publisher
Springer Japan
Published in
Heart and Vessels / Issue 4/2014
Print ISSN: 0910-8327
Electronic ISSN: 1615-2573
DOI
https://doi.org/10.1007/s00380-013-0403-5

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