Cardiology Research, ISSN 1923-2829 print, 1923-2837 online, Open Access
Article copyright, the authors; Journal compilation copyright, Cardiol Res and Elmer Press Inc
Journal website https://www.cardiologyres.org

Case Report

Volume 2, Number 6, December 2011, pages 298-300

Thrombosis of A Prosthetic Mitral Valve After Withdrawal of Phenprocoumon Therapy

Figures

Figure 1.
Figure 1. Transoesophageal echocardiography showing reduced mobility of the prosthetic valve with functional stenosis. (A) Diastole. (B) Systole. (C) Colour Doppler of the diastole. The white and red arrows point to the mobile and immobile leaflets, respectively.
Figure 2.
Figure 2. Radioscopy. Only one leaflet of the bileaflet valves opens.
Figure 3.
Figure 3. Excised valve. Thrombotic deposits are clearly visible.

Table

Table 1. Example for Bridging Therapy With Certoparin 8000
 
TimeVitamin K antagonistCertoparin 8000
10 days before surgeryNoNo
INR < 2.5NoYes, twice daily
1 day before surgeryNoYes, once daily
Day of surgeryNoYes, once daily
1 day after surgery and as long as there is an increased bleeding riskNoYes, twice daily
As soon as there is no increase bleeding riskYesYes, twice daily
INR > 3.0YesNo