Thrombosis of A Prosthetic Mitral Valve After Withdrawal of Phenprocoumon Therapy
| Autor: | Christian M Wende, Andreas Wilke, Michael Horst, Dietmar Steverding |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.drug_class medicine.medical_treatment Case Report Heparin Cataract surgery Vitamin K antagonist medicine.disease Thrombosis Surgery Prosthetic heart valve thrombosis Phenprocoumon Anticoagulant therapy PROSTHETIC MITRAL VALVE Anesthesia Internal medicine Oral anticoagulant therapy Oral anticoagulant medicine Cardiology Bridging therapy Cardiology and Cardiovascular Medicine business medicine.drug |
| Zdroj: | Cardiology Research |
| ISSN: | 1923-2829 |
| DOI: | 10.4021/cr124w |
| Popis: | Patients with prosthetic heart valves require lifelong oral anticoagulant therapy based on vitamin K antagonists. These patients may need interruption of their anticoagulant therapy if they have to undergo surgery. The clinical challenge is to identify patients who can safely undergo surgery while continuing their vitamin K antagonist treatment and those who have to take short-acting heparin as part of a bridging therapy. Here we present a case of a patient with a prosthetic mitral valve whose oral anticoagulant therapy was unnecessarily discontinued by the GP prior to an upcoming cataract surgery. As a result, the patient developed thrombosis of the prosthetic mitral valve which needed to be surgically replaced. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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