Acute thrombosis of a prosthetic mitral valve: a lesson in anticoagulation
| Autor: | Geoff M. Tsang, Percy Jokhi, Adrian Ooi, Iain A. Simpson, R. Sharma |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
medicine.medical_specialty
medicine.drug_class Low molecular weight heparin PROSTHETIC MITRAL VALVE Internal medicine medicine Humans Mitral Valve Stenosis Radiology Nuclear Medicine and imaging In patient Prosthetic heart Dose-Response Relationship Drug business.industry Anticoagulants Thrombosis Middle Aged Phenindione medicine.disease Surgery Heart Valve Prosthesis Acute Disease Practice Guidelines as Topic Cardiology Female Acute thrombosis Cardiology and Cardiovascular Medicine Complication business medicine.drug |
| Zdroj: | Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography. 20(8) |
| ISSN: | 1097-6795 |
| Popis: | Prosthetic heart valve thrombosis is a potentially life-threatening complication of low anticoagulation. We present a case of acute prosthetic mitral valve thrombosis in a patient whose anticoagulation was inadequate after phenindione was changed to low molecular weight heparin. We discuss the diagnosis and treatment of this condition and highlight the danger of long-term low molecular weight heparin use in patients with prosthetic heart valves, especially those in the mitral position. We review the current guidelines for anticoagulation of prosthetic heart valves and discuss potential treatment options if adequate anticoagulation is not achieved by oral anticoagulant alone. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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