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Prosthetic valve thrombosis despite seemingly-adequate anticoagulation: the dangers of transient lapses in anticoagulation

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Singapore Med J 2008 (1); 49:e1-2.
Prosthetic valve thrombosis despite seemingly-adequate anticoagulation: the dangers of transient lapses in anticoagulation

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Jafary FH, Hassan K
Correspondence: Dr Fahim H Jafary, jafary@pobox.com


ABSTRACT
We report a 19-year-old woman with thrombosis of a prosthetic mitral valve that was most likely due to a short dip in anticoagulation in the days preceding the event. Interestingly, at presentation the patient was super-therapeutic, most likely a result of hepatic congestion as the heart began to fail, creating an illusion of thrombosis despite adequate anticoagulation.

Keywords:anticoagulation lapse, prosthetic valve thrombosis, valve thrombosis
Singapore Med J 2008; 49:e1-2.

http://smj.org.sg/sites/default/files/4901/4901cr1.pdf
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