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
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