hypertension-nuclear-cardiology-2017-posters-abstracts

Volume 6, Issue 3 (Suppl)

J Hypertens, an open access journal

ISSN: 2167-1095

Page 78

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Hypertension 2017 & Nuclear Cardiology 2017

September 11-13, 2017

JOINT EVENTON

and

September 11-13, 2017 | Amsterdam, Netherlands

International Conference on

Hypertension & Healthcare

International Conference on

Non-invasive Cardiac Imaging, Nuclear Cardiology & Echocardiography

Antithrombitic treatment and tooth removal in teenage patient with HeartWare

Czerżyńska Magdalena, Wojcik Elzbieta

and

Mroczek Tomas

Jagiellonian Collegium Medicum, Poland

welve-year-old girl was admitted due to accidentally finding thrombus above aortic valve during control examination. Left

Ventricular assistant devices Heart Ware was implanted for the patients three months earlier due to dilated cardiomyopathy.

After this she was onAcenocumarol treatment (dosage is change based on currently, daily INR value). Patient since implantation

had been undergoing systematically clinician control which includes echocardiography examination. During one of them a

thrombus on aortic valve was detected. Physicians advised for immediate hospitalization of the patient; and fibrinolysis (Actylise

and Heparin) was activated. Day by day echocardiography examinations founded thrombus degradation. We figured out that

the possible reasons of valve vegetation may be bad oral cavity condition. Decision of sedation was made after consulting the

dentistry. Before planning sedation day, the Acenocumarol was stopped and patient was on heparin. Tooth treatment had been

performed with general anesthesia in operating theater. During those procedures, the extraction of 3 teeth was made; also

2 teeth were filled by composite and carious lesions were treated. After extraction, the bleeding occurred and due to LVAD

patients antithrombotic therapy could not be stopped at all. Only available option was local pressure with tampons soaked with

Exacyl (antifibrinolytic hemostatic used in severe hemorrhage). After oral cavity recovery and setting the Acenocumarol dose

patient was sent home. Ten-day post discharge, patient had got control cardiology visit. There was no thrombus in the hearts

valves since the oral cavity sedation had been performed.

J Hypertens 2017, 6:3(Suppl)

DOI: 10.4172/2167-1095-C1-003