[HSF] Anticoagulation for bioprosthetic AVR in NSR

[Douville, Chuck]

Bioprosthetic aortic valves at our institution, in NSR, receive Enteric coated aspirin 81 mg daily for life. It has made things simpler for the pts and has worked. Seems like there was a survey published out of a presentation at WTSA a couple of years ago and that was the dominant cardiac surgical practice among respondents. chuckdouville

________________________________

From: openheart-l-bounces at lists.hsforum.com on behalf of Tea Acuff
Sent: Wed 6/20/2007 1:34 PM
To: OpenHeart-L at lists.hsforum.com
Subject: Re: [HSF] Anticoagulation for bioprosthetic AVR in NSR



Same... at least for the first part. Unfortunately the first three months are also the most vulnerable to surgical bleeding for those that use for three months. I have definately lost patients in this period due to anticoagulation complications (tamponade).
tea


----- Original Message ----
From: "tdmartin2000 at aol.com" <tdmartin2000 at aol.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Wednesday, June 20, 2007 2:42:40 PM
Subject: Re: [HSF] Anticoagulation for bioprosthetic AVR in NSR


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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