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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
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Antithrombotic Therapy after Bioprosthetic Aortic Valve Replacement: A Therapeutic Morass

Anton A Gryaznov1,2, Ayman Saeyeldin1, Mohamed Abdelbaky1

  • 1Aortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, Connecticut, USA.

Cardiology
|August 24, 2018
PubMed

Insights

Aortic stenosis is a common heart valve disorder. This review examines the crucial role of anticoagulation in managing complications following aortic valve replacement surgery.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Pharmacology

Background:

  • Valvular heart disease affects millions globally, with aortic stenosis being the most prevalent.
  • Current guidelines guide treatment for aortic stenosis based on patient risk and symptom severity.
  • Aortic valve replacement (AVR) using biological valves is increasingly common.

Purpose of the Study:

  • To review the impact of anticoagulation strategies on patient outcomes after surgical AVR.
  • To highlight the importance of appropriate anticoagulant selection post-AVR.

Main Methods:

  • Literature review of studies on anticoagulation after AVR.
  • Analysis of immediate and remote complications associated with different anticoagulation regimens.

Main Results:

  • Anticoagulation plays a significant role in managing complications after AVR.
  • The choice of anticoagulant impacts both short-term and long-term patient health.

Conclusions:

  • Optimizing anticoagulation is essential for improving outcomes in patients undergoing AVR.
  • Further research into anticoagulation protocols post-AVR is warranted.

Keywords:
BioprosthesisAdverse effectsAnticoagulationAortic valve replacementComplicationsMechanical aortic valve

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