Apixaban for treatment of intracardiac thrombosis in children with congenital heart disease

Interact Cardiovasc Thorac Surg. 2020 Jun 1;30(6):950-951. doi: 10.1093/icvts/ivaa041.

Abstract

Apixaban is well studied in adults; paediatric data are extremely limited. We describe 3 children (age 2-6 years, weight 13-17 kg) with congenital heart disease who developed intracardiac thrombosis, and in whom typical treatments had failed (in 1) or were considered impractical (in 2). All were treated with apixaban 2.5 mg orally twice daily with complete (in 2) or partial (in 1) thrombus resolution and no clinical bleeding events.

Keywords: Apixaban; Congenital; Factor Xa inhibitors.

MeSH terms

  • Child
  • Child, Preschool
  • Echocardiography
  • Factor Xa Inhibitors / administration & dosage*
  • Female
  • Heart Defects, Congenital / complications*
  • Heart Defects, Congenital / drug therapy
  • Heart Ventricles
  • Humans
  • Male
  • Pyrazoles / administration & dosage*
  • Pyridones / administration & dosage*
  • Thrombosis / diagnosis
  • Thrombosis / drug therapy*
  • Thrombosis / etiology

Substances

  • Factor Xa Inhibitors
  • Pyrazoles
  • Pyridones
  • apixaban