Recurrent Stroke and Progression of Left Ventricular Thrombus During Apixaban Therapy in a Patient with Severe Ischemic Cardiomyopathy: A Case Report

Alaa Babonji; Fatima Ahmad Algethmi; Basmah Salman Almutairi; Afnan Alsulami; Adel F. Al-Mrzouki

doi:10.12659/AJCR.949883

08 December 2025 : Case report Saudi Arabia

Recurrent Stroke and Progression of Left Ventricular Thrombus During Apixaban Therapy in a Patient with Severe Ischemic Cardiomyopathy: A Case Report

Unusual clinical course, Unusual or unexpected effect of treatment, Diagnostic / therapeutic accidents, Unexpected drug reaction

Alaa Babonji

^{ABCDEF 1*}, Fatima Ahmad Algethmi^{BDEF 2}, Basmah Salman Almutairi^{BDEF 3}, Afnan Alsulami^{BDEF 4}, Adel F. Al-Mrzouki

^{BDEF 5,6,7}

DOI: 10.12659/AJCR.949883

Am J Case Rep 2025; 26:e949883

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Figure 2 Computed tomography scan of the brain demonstrates multifocal areas of hypodensity in the right cerebral hemisphere with loss of gray-white matter differentiation, predominantly involving the frontal, parietal, and temporal lobes, with development of a hemorrhagic focus within the right frontal lobe.

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Recurrent Stroke and Progression of Left Ventricular Thrombus During Apixaban Therapy in a Patient with Severe Ischemic Cardiomyopathy: A Case Report

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