Successful resolution of left ventricular thrombus with apixaban treatment

A 68 years old male patient with history of dyslipidemia and smoking was admitted to our emergency department with complaint of dyspnea. He was transferred to the coronary care unit with the pre-diagnosis of acute coronary syndrome. In his transthoracic echocardiography, we detected anterior, anterior septal and apical wall akinesia with an LV ejection fraction (EF) of 25%, moderate mitral regurgitation and 13 × 6 mm sized thrombus in the LV. Apixaban treatment 5 mg po bid was started. In the second month transthoracic echocardiograpy, the thrombus in LV was found to have disappeared. In this report we present a patient whose LV thrombus was successfully treated after myocardial infarction by apixaban.