Keywords
Left ventricular thrombus (LVT), pancreatic cancer, Warfarin, Eliquis, DOACs.
Abstract
Venous thromboembolism (VTE) is a common complication among cancer patients, whereas left ventricular thrombus (LVT) formation is rarely reported in this group. We present a case of a stage IV pancreatic cancer patient who was incidentally found to harbor a large LVT in the apex during an abdominal CT scan. An echocardiogram confirmed the presence of the thrombus, and treatment was initiated with heparin before being transitioned to Eliquis due to concerns regarding Warfarin’s interactions with her chemotherapy regimen. This case adds to the limited literature on LVT in cancer patients, emphasizing the therapeutic challenges in managing this condition and the growing role of Direct Oral Anticoagulants (DOACs) as a reasonable alternative to Warfarin, the guideline-recommended anticoagulant in such cases over the past decade