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.


METHODS
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.


CONCLUSIONS
This case highlights the usefulness of apixaban in the management of atrial fibrillation and proven intra-atrial thrombus.
Department of Cardiology, Hospital Clínico Universitario, Valencia, Spain.
Ernesto
E
Valero
Enrique
E
Santas
Julio
J
Núñez
D000368:Aged; D000925:Anticoagulants / Q000008:administration & dosage / Q000627:therapeutic use*; D001281:Atrial Fibrillation / Q000188:drug therapy; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D011720:Pyrazoles / Q000008:administration & dosage / Q000627:therapeutic use*; D011728:Pyridones / Q000008:administration & dosage / Q000627:therapeutic use*; D013927:Thrombosis / Q000188:drug therapy*; D014859:Warfarin / Q000008:administration & dosage / Q000627:therapeutic use*
D000925:Anticoagulants; D011720:Pyrazoles; D011728:Pyridones; C522181:apixaban; D014859:Warfarin