Acute Coronary Syndrome of Embolic Origin in a Patient on Direct Thrombin Inhibitor Three Years After Mechanical Mitral Valve Replacement
Autor: | Andrew Kei-Yan Ng, Man-Hong Jim |
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Jazyk: | angličtina |
Rok vydání: | 2016 |
Předmět: | |
Zdroj: | International Cardiovascular Forum Journal, Vol 8, Pp 106-107 (2016) |
Druh dokumentu: | article |
ISSN: | 2410-2636 2409-3424 |
DOI: | 10.17987/icfj.v8i0.295 |
Popis: | Dabigatran was shown to be inferior to warfarin for patients with mechanical heart valves. However it was postulated that its inferiority was limited to early post-operative period where the valves had not been adequately endothelialized. We present a case where thromboembolic acute coronary syndrome developed in a patient six months after switching from warfarin to dabigatran, despite three years after mechanical mitral valve replacement. We propose an alternative explanation for dabigatran failure. |
Databáze: | Directory of Open Access Journals |
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