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[Gastrointestinal bleeding after mitral valve implantation. Case report].
G O Isaev1, O I Trushina1, B M Tlisov1
1Sechenov First Moscow State Medical University (Sechenov University).
Terapevticheskii Arkhiv
|March 9, 2026
Summary
Mitral valve surgery patients on anticoagulation therapy require personalized care. This case highlights gastrointestinal bleeding risks and the need for multidisciplinary specialist consultation.
Area of Science:
- Cardiology
- Gastroenterology
- Surgical Interventions
Background:
- Anticoagulation therapy is crucial after mitral valve surgery.
- Patients with high bleeding risk necessitate individualized treatment plans.
- Multidisciplinary specialist involvement is often required for complex cases.
Purpose of the Study:
- To present a clinical case of a patient undergoing mitral valve surgery.
- To emphasize the importance of a personalized approach in managing anticoagulated patients at risk of bleeding.
- To highlight the role of gastroenterology consultation in such cases.
Main Methods:
- Clinical case presentation.
- Preoperative assessment including esophagogastroduodenoscopy.
- Postoperative monitoring for gastrointestinal bleeding.
- Endoscopic hemostasis and anti-ulcer therapy.
Main Results:
- A 72-year-old patient with no contraindications underwent mitral valve surgery.
- Post-surgery, the patient developed gastrointestinal bleeding (coffee grounds vomiting, melena) while on anticoagulation.
- Esophagogastroduodenoscopy revealed multiple erosive and ulcerative defects; endoscopic hemostasis was successful.
Conclusions:
- Personalized management is critical for anticoagulated patients post-mitral valve surgery.
- Gastrointestinal complications like bleeding are significant risks.
- Early gastroenterology consultation is vital for optimizing patient outcomes.
Keywords:
Helicobacter pyloribleeding riskduodenal ulcergastric ulcergastrointestinal bleedingmitral regurgitationMore Related Videos
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