[HSF] Anticoagulation for bioprosthetic AVR in NSR

[prasannasimha]

Aspirin only.
I think we had a big discussion wrt this years ago.In the institute 
where I trained and the one in which I work in we have not given 
Coumadine to any of these cases Prasanna
SJROSS at aol.com wrote:
> Please respond with your "standard of care" for anticoagulation in the  
> following case:
>  
> Young male with Staph endocarditis of native aortic valve. Preop chf, but  no 
> cva. History of polysubstance abuse, but denies iv drugs. Uneventful AVR with 
>  Edwards bovine Magna valve, no annular abscess. (Ross was considered.)  
> Uneventful 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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