[HSF] Anticoagulation for bioprosthetic AVR in NSR

[tdmartin2000 at aol.com]

We have not used any standard anticoagulation for bioprostheses alone for over 20 yrs. Anecdotally we have had no adverse effects.



Tom Martin

U of Florida 

Gainesville


-----Original Message-----
From: SJROSS at aol.com
To: OpenHeart-L at lists.hsforum.com
Sent: Wed, 20 Jun 2007 2:11 pm
Subject: [HSF] Anticoagulation for bioprosthetic AVR in NSR




Please respond with your "standard of care" for anticoagulation in the  
ollowing case:

oung male with Staph endocarditis of native aortic valve. Preop chf, but  no 
va. History of polysubstance abuse, but denies iv drugs. Uneventful AVR with 
Edwards bovine Magna valve, no annular abscess. (Ross was considered.)  
neventful post op course, discharged in 5 days, chf  resolved, nsr.

 no anticoagulation
ASA only
Warfarin only--for how long
Clopidogrel
combination or other


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