Work overview

Section 04 of 04

Conclusions

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, and Cristina A Mitre · 2026

Contents

Section 04 of 04

  1. 01Introduction
  2. 02Case presentation
  3. 03Discussion
  4. 04Conclusions
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Work overview

Section 4 of 4

Conclusions

Gemechu Ayana, Lucas Garcia Reinoso, Baziliya Keraga, Isabel Conde, Goitom Weldearegay, Leah Ragbir, Wazema Desta, Minase Temesgen, Melat Demisse, and Cristina A Mitre · about 1 minutes

Left ventricular thrombus remains a clinically important complication associated with significant thromboembolic risk. This case demonstrates that LVT may persist despite prescribed DOAC therapy in the setting of suboptimal medication adherence, highlighting the importance of adherence and serial imaging. Further studies are needed to define optimal anticoagulation strategies and improve risk stratification for patients with persistent or recurrent LVT.