Related Experiment Video

Updated: Mar 10, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
08:12

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Published on: May 26, 2023

2.6K

[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
PubMed

Insights

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 regurgitation

More Related Videos

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair08:31

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair

Published on: October 16, 2021

4.5K
Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension04:00

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Published on: November 15, 2024

925

Related Concept Videos

Mitral Regurgitation I: Introduction01:20

Mitral Regurgitation I: Introduction

Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
807
Mitral Regurgitation III: Medical Management01:25

Mitral Regurgitation III: Medical Management

Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
479
Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
703
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
399
Mitral Regurgitation II: Clinical Features and Diagnostic Tests01:23

Mitral Regurgitation II: Clinical Features and Diagnostic Tests

Mitral regurgitation (MR) is a valvular heart disorder in which the mitral valve fails to close tightly, allowing blood to leak backward into the heart. Understanding the clinical manifestations, assessment, diagnostic findings, and medical management of MR is crucial to effectively managing affected patients.Clinical Manifestations of Mitral RegurgitationMitral regurgitation can be acute or chronic, each presenting differently and requiring different approaches:1. Acute Mitral...
683
Mitral Valve Prolapse I: Introduction01:27

Mitral Valve Prolapse I: Introduction

IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...
820