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Non-Cardiac Surgery In Patients With Prosthetic Heart Valves: A 12 Years Experience, Raja Parvez Akhtar, Abdul Rehman Abid, Hasnain Zafar, Syed Javed Raza Gardezi, Abdul Waheed, Jawad Sajid Khan
Non-Cardiac Surgery In Patients With Prosthetic Heart Valves: A 12 Years Experience, Raja Parvez Akhtar, Abdul Rehman Abid, Hasnain Zafar, Syed Javed Raza Gardezi, Abdul Waheed, Jawad Sajid Khan
Section of General Surgery
Objective: To study patients with mechanical heart valves undergoing non-cardiac surgery and their anticoagulation management during these procedures.
Study Design: It was a cohort study.
Place and Duration of Study : The study was conducted at the Department of Cardiac Surgery, Punjab Institute of Cardiology, Lahore and Department of Surgery, Services Institute of Medical Sciences, Lahore, from September 1994 to June 2006.
Patients and Methods: Patients with mechanical heart valves undergoing non-cardiac surgical operation during this period, were included. Their anticoagulation was monitored and anticoagulation related complications were recorded.
Results: In this study, 507 consecutive patients with a mechanical …
Three Pregnancies With Mechanical Heart Valve And No Follow-Up In 10 Years, Raja Parvez Akhtar, Abdul Rehman Abid, Hasnain Zafar
Three Pregnancies With Mechanical Heart Valve And No Follow-Up In 10 Years, Raja Parvez Akhtar, Abdul Rehman Abid, Hasnain Zafar
Section of General Surgery
Anticoagulation and proper INR (International Normalized Ratio) monitoring is essential for patients having mechanical heart valves; it is vital in these patients in order to prevent lethal complications such as valve thrombosis and systemic embolism. In pregnancy, it becomes even more important as pregnancy itself is a hypercoagulable state. This report describes a female patient having undergone mitral valve replacement with a Starr Edward metallic prosthesis. She came back to the operating surgeon after 10 years of valve replacement with a history of three uneventful healthy deliveries and no follow-up and INR monitoring during this period.