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