Key result
Stopping anticoagulation triggers recurrent left ventricular thrombus despite preserved left ventricular systolic function.
Why the study?
Recurrence of left ventricular thrombus in a young patient with normal systolic function and no predisposing factors is an unusual clinical presentation without clear explanation.
Case Report (n=1)
Recurrent LV thrombus after anticoagulant cessation in unexplained cases; hypothesis-generating for indefinite therapy and requires prospective validation.
The case report of a young patient with recurrence of intraventricular thrombus represents an unusual presentation with no apparent clinical explanation despite echocardiographic, surgical, and pathologic confirmation. The other unusual feature of this case is the absence of predisposing factors for intraventricular thrombus. The patient developed the second left ventricular thrombus after he stopped taking anticoagulants. The authors' recommendation for such a patient is that he continue to receive anticoagulants for life.
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Reddy et al. (1993) conducted a case report in Recurrent left ventricular thrombus (n=1). Anticoagulant cessation was evaluated on Recurrence of left ventricular thrombus. Stopping anticoagulants in a young patient with normal left ventricular systolic function led to the recurrence of a left ventricular thrombus.
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