PMC5588439_01
Transesophageal echocardiogram. a Midesophageal two-chamber view showing the presence of a thrombus (arrow) in the LAA. b Midesophageal two-chamber view after 3 weeks of treatment with apixaban showing the complete resolution of the thrombus in the LAA. LA = Left atrium; LV = left ventricle; MV = mitral valve.
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F1
The transesophageal echocardiogram (fig. 1a), revealed the presence of a hyperechoic mass with well-defined borders located at the LAA, findings highly suggestive of an intra-atrial thrombus (arrow). After 3 weeks of treatment with apixaban, transesophageal echocardiogram was repeated showing complete resolution of the intra-atrial thrombus (fig. 1b), which allowed us to carry out the ECV and to achieve sinus rhythm.