Key result
Mechanical valve patient survives 11 years asymptomatically with normal function despite stopping anticoagulation.
Case Report (n=1)
No
This case report highlights an unusual instance of a patient surviving asymptomatically for 11 years with normally functioning mechanical mitral and aortic valves despite discontinuing anticoagulant therapy.
Does not support anticoagulation discontinuation after mechanical valve replacement; leaves open questions on individual thrombotic risk.
thrombosis and it's consequences. At the same time, excess dosing leads to complications related to bleeding. One of our patients who underwent double valve replacement for infective endocarditis lost to the follow up after 5 months of surgery then he turned back after 11 years with history of discontinuing anticoagulants. International normalised ratio (INR) was 0.97. Further evaluation revealed normally functioning mechanical mitral and aortic valve (Medtronic tilting disc).
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Husain et al. (2016) conducted a case report in Mechanical heart valve replacement (n=1). Discontinuation of anticoagulant therapy was evaluated on Valve function and thromboembolic events. A 42-year-old male with mechanical mitral and aortic valve prostheses survived asymptomatically with normally functioning valves for 11 years despite discontinuing anticoagulant therapy.
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