Left Ventricular Thrombus Despite Prescribed Direct Oral Anticoagulant Therapy in Chronic Heart Failure With Reduced Ejection Fraction: A Case Report and Review of Risk Stratification
Gemechu Ayana, Lucas Garcia Reinoso, Baziliya Keraga, Isabel Conde, Goitom Weldearegay, Leah Ragbir, Wazema Desta, Minase Temesgen, Melat Demisse, Cristina A Mitre · 2026
Read Left Ventricular Thrombus Despite Prescribed Direct Oral Anticoagulant Therapy in Chronic Heart Failure With Reduced Ejection Fraction: A Case Report and Review of Risk Stratification by Gemechu Ayana, Lucas Garcia Reinoso, Baziliya Keraga, Isabel Conde, Goitom Weldearegay, Leah Ragbir, Wazema Desta, Minase Temesgen, Melat Demisse, Cristina A Mitre (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13499039.txt.
Description
Gemechu Ayana and a large clinical team describe in 2026 a blood clot that formed inside a weakened heart despite prescribed blood-thinning treatment. Their patient was a 65-year-old man with long-standing heart failure, prior heart attack and bypass surgery, kidney disease, and a bulging, scarred tip of the main pumping chamber. Clots in that chamber raise the risk of stroke and other blockages elsewhere in the body.
Scans first found the clot on a routine heart ultrasound. A repeat scan months later showed it again even though a modern oral blood thinner had been prescribed, though the patient reported taking it inconsistently. The authors review evidence on how long thinning treatment should continue and argue for plans tailored to clot shape, heart remodelling, and personal risk rather than one fixed rule.
Catalog record
| CREATOR | Gemechu Ayana, Lucas Garcia Reinoso, Baziliya Keraga, Isabel Conde, Goitom Weldearegay, Leah Ragbir, Wazema Desta, Minase Temesgen, Melat Demisse, Cristina A Mitre |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 22706 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |