Left Ventricular Thrombus as a Cause of Recurrent Episodes of Transient Ischemic Attack While on Rivaroxaban in a Patient with Hyperhomocysteinemia

Abstract

Thrombus formation is an important prognostic factor in all cardiovascular diseases. Early diagnosis and treatment of intra-cardiac thrombus is critical. When a patient presents with cardiac thrombus, not only cardiac disorders but also other diseases such as malignancies, thrombophilia, rheumatologic disorders and hypercoagulable state should be considered. While regarding various hypercoagulable conditions, hyperhomocysteinemia should be evaluated. In this case report we report a case of left ventricular (LV) thrombosis in a patient with hyperhomocysteinemia.