AW: [HSF] Warfarin for rings

[Prasanna Simha M]

I have in my ICU just now a child who underewent an emergency MVR +TV plasty
for a balloon valvotomy tear. He has come back to the ICU for an
anticaogulant induced hemorhagic pericardial effusion which was drained with
a tube. Coumadin and hemorhagic pericardial effusions are real !!
Prasanna
On Sat, May 3, 2008 at 5:16 PM, Prasanna Simha M <prasannasimha at gmail.com>
wrote:

> I am not so sure but then others in the west have the same experience as
> we have in India.
> Prasanna
>
>
> On Sat, May 3, 2008 at 1:47 PM, Donald Ross <donross at bigpond.com> wrote:
>
> > Thanks, Hal and everyone else.
> > I thought that was also my policy when a recent repair was put on
> > warfarin by  the registrar and developed a tamponade.
> > After a shellacking he assured me it was routine with my colleagues and
> > indeed it was.
> > Prasanna, I do you think you can extrapolate Indian thrombogenicity to
> > patients on western diet ?
> > Don
> >
> >
> >  Don,
> > >  Because of guys like Bob Frater and Tom Martin, I made the switch in
> > > January, 2005.  I quit using warfarin other than for postop AF or
> > >  mechanical
> > > valves.  Since then, I've done several hundred valve procedures  and
> > > can only
> > > recall one postop embolic stroke in a ring patient.   Obviously, no
> > > policy is
> > > perfect, but the incidence of warfarin-associated  delayed tamponade
> > > has been
> > > essentially eliminated from my practice.
> > >
> > > Hal
> > >
> > >
> > >
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> --
> Prasanna Simha M




-- 
Prasanna Simha M