Ghalyoun Bader Abu, Lempel Matthew, Shaaban Hamid, Shamoon Fayez
Department of Cardiology, St. Joseph's Regional Medical Center, Paterson, NJ, USA.
Department of Hematology and Oncology, St. Michael's Medical Center, Newark, NJ, USA.
Ann Card Anaesth. 2018 Jan-Mar;21(1):76-77. doi: 10.4103/aca.ACA_146_17.
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.
一名32岁女性，有阵发性心房颤动、长QT综合征病史，曾因心脏骤停植入自动植入式心律转复除颤器（AICD），现因AICD反复电击出现阵发性心房颤动的致残症状。在进行根治性消融术前，行经食管超声心动图检查以评估是否存在现有血栓。这是一例罕见的病例，非风湿性心房颤动导致的巨大左心耳血栓通过阿哌沙班成功溶解，并成功接受了阿哌沙班治疗。
