Large Left Ventricular Thrombus as a Cause of Recurrent Cardioembolic Stroke While on Dabigatran

• LV thrombus can result in systemic embolization and ischemic stroke. • Oral VKA therapy for ≥3 months is the recommended treatment of choice. • The role of DOAC therapy in LV thrombus is limited to case reports. • Surgical thrombectomy should be considered in patients with large mobile LV thrombi.