A Double Edged Sword - Anticoagulation Treatment in a Patient with Mechanical Prosthetic Mitral Valve Complicated by Brain Hemorrhage
- Corresponding Author:
- Noam Fink
Leviev Heart Center, Sheba Medical Center
Tel Aviv University, Israel
E-mail: [email protected]
Received April 26, 2016; Accepted May 25, 2016; Published May 30, 2016
Citation: Fink N, Hamdan A, Vatury O, Goitein O, Zekry SB (2016) A Double Edged Sword-anticoagulation Treatment in a Patient with Mechanical Prosthetic Mitral Valve Complicated by Brain Hemorrhage. J Cardiovasc Dis Diagn S1:007. doi:10.4172/2329-9517.S1-007
Copyright: © 2016 Fink N, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
In the current case presentation, a patient with prosthetic mechanical mitral valve developed brain hemorrhage following head trauma. Cessation of anticoagulation treatment resulted in left atrial thrombus; patient presented with recurrent emboli events to major arteries that required recurrent embolectomy. This case highlights the clinical conflict of restarting vitamin K anticoagulation following brain hemorrhage in a high risk patient and demonstrates the importance of multimodalities imaging in assessing those patients.