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Hossam El Benawi: How do We Predict Recurrence Post LVT Resoultion?
Hossam El Benawi/LinkedIn
Jun 23, 2026, 17:40

Hossam El Benawi: How do We Predict Recurrence Post LVT Resoultion?

Hossam El Benawi, Senior Clinical Research Fellow of Cardiovascular Medicine at Mayo Clinic, shared on LinkedIn about a recent article he and his colleagues co-authored, published in JACC: Advances, adding:

“How do we predict recurrence post Left Ventricular Thrombus ( LVT ) resoultion?

Echo at the time of LVT resolution preditctive than the time of Diagnosis

After LVT resolution, patient with left ventricular aneurysm (LVA) remained at high risk of recurrence regardless of anticoagulation status, with recurrence rates approaching 50–70% (Figure 1).

Stopping oral anticoagulation (OAC) after LVT resolution increased recurrence risk even in patients without LVA, rising to 19%(Figure 2).

Risk stratification combining LVA status and OAC use revealed a clear gradient of recurrence risk (Figure 3):

Without LVA and receiving OAC: 5/113 (4%)
Without LVA and not receiving OAC: 22/116 (19%)

With LVA and receiving OAC: 4/13 (31%)
With LVA and not receiving OAC: 5/10 (50%)

Highest recurrence: Patients with LVA who were not receiving OAC
Lowest recurrence: Patients without LVA who were receiving OAC

The key question:

If recurrence risk remains elevated across all groups, who can truly stop OAC after LVT resolution?

Stay tunned for Mayo LVT part 3″

Title: Clinical and Echocardiographic Factors Associated With Left Ventricular Thrombus Recurrence

Authors: Kirsten M. Lipps, Hossam Elbenawi, Samuel Heller Jr., Robert D. McBane, Waldemar E. Wysokinski, Ana I. Casanegra, Stanislav Henkin, Thom W. Rooke, Paul W. Wennberg, David A. Liedl, Raymond C. Shields, Damon E. Houghton

Hossam El Benawi

Other posts featuring Hossam El Benawi on Hemostasis Today.

Ana I. Casanegra Blood Cardiology Damon E Houghton David A. Liedl Health Hematology Hemostasis News Hemostasis Today Hossam El Benawi Kirsten M. Lipps left ventricular aneurysm Left Ventricular Thrombus LVA LVT Medicine OAC Oral Anticoagulation Paul W. Wennberg Raymond C. Shields Robert D. McBane Samuel Heller Jr. Stanislav Henkin Thom W. Rooke thrombosis Waldemar E. Wysokinski
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