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[Acute prosthetic valve thrombosis in a patient with neoplastic disease--difficulties with anticoagulation therapy]
Andrzej Koronkiewicz1, Tomasz Hirnle, Bozena Sobkowicz
1Szpitalny Oddział Ratunkowy, Samodzielny Publiczny Szpital Kliniczny, Uniwersytet Medyczny, Białystok. andrzejkor5@o2.pl
Abstract:
A case of a 50-year-old woman with prosthetic mitral valve complicated by severe thrombosis as an effect of incorrect anticoagulation treatment during rectal cancer biopsy, is presented. During echocardiographic evaluation a dysfunction prosthetic mitral valve with extremely high maximal mitral gradient (50.2 mmHg) was found. The patient was qualified for surgical intervention and mechanical prosthetic mitral valve was replaced by a biological one. This report underlines the difficulties in the anticoagulation therapy in patients with prosthetic heart valves.
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