Rationale:
Left ventricular non-compaction cardiomyopathy (LVNC) is a rare heart disorder related to thrombosis. Anticoagulant therapy is suggested for the treatment of this disease. The success of the novel oral anticoagulant rivaroxaban as a treatment option for this disorder is unclear.
Patient concerns:
A 43-year-old man who felt dizzy at rest was found to have an intraventricular thrombus.
Diagnoses:
The thrombus was confirmed by echocardiography. And LVNC was diagnosed by cardiac magnetic resonance (CMR) and echocardiography.
Interventions:
He was prescribed a low dose (10 mg daily) of rivaroxaban as treatment.
Outcomes:
After 3 months, the thrombus diminished, and the manifestation disappeared.
Lessons:
Low dose of rivaroxaban may serve as a viable option for anticoagulation therapy in LVNC patients, with large clinical trials needed to determine the best course of treatment.