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October 1, 1987The Annals of Thoracic SurgeryOpen Access

Thrombotic and Bleeding Complications of Prosthetic Heart Valves

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Population

Patients with bioprosthetic and mechanical aortic and mitral valves

Design

Review

Key result

Aortic bioprostheses have lower rates of thrombotic and bleeding complications than mechanical valves (2% vs 4%), and mechanical valves have 2-4 times higher rates of fatal events.

Authors

LEL. Henry Edmunds

Discussion

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Overview

Mechanical valves are associated with higher rates of fatal thrombotic and bleeding complications compared to bioprostheses, emphasizing the critical role of adequate warfarin anticoagulation.

Structured PICO

P
Population
Patients with bioprosthetic and mechanical aortic and mitral valves
E
Exposure
Prosthetic heart valves and associated anticoagulation strategies (warfarin, platelet inhibitors, heparin)
O
Outcome
Thrombotic and bleeding complicationssafety

Mechanical valves are associated with higher rates of fatal thrombotic and bleeding complications compared to bioprostheses, emphasizing the critical role of adequate warfarin anticoagulation.

Limitations

  • Lack of standard definitions
  • Variability in reporting and follow-up

Cite This Study

L. Henry Edmunds (1987) conducted a review in Prosthetic heart valves. Bioprosthetic valves vs. Mechanical valves was evaluated on Thrombotic and bleeding complications. Aortic bioprostheses have lower rates of thrombotic and bleeding complications than mechanical valves (2% vs 4%), and mechanical valves have 2-4 times higher rates of fatal events.

synapsesocial.com/papers/6aa24480e308734d7dd31118https://doi.org/10.1016/s0003-4975(10)63816-7
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Thromboembolic and bleeding complications in patients with mechanical heart valve prostheses.1994 · 1,068 citations
  2. 2Thromboembolic and hemorrhagic complications in patients with prosthetic heart valves: 15-years of experience at a third level care center. What have we learned?2022
  3. 3Factors Affecting Thromboembolism Associated with Prosthetic Heart Valves1967 · 124 citations
  4. 4Thromboembolic and hemorrhagic complications in patients with prosthetic heart valves at third level care center. What have we learned?2023 · 1 citations
  5. 5Anticoagulation or antiplatelet therapy of bioprosthetic heart valves recipients: an unresolved issue2007 · 26 citations