Q J Med 2002; 95: 706-707
© 2002 Association of Physicians
Correspondence |
New antiplatelet agents and prosthetic heart valves
Cardiology Department, Oxford Radcliffe Hospital NHS Trust, John Radcliffe Hospital, Oxford email: cardiology.registrars@orh.nhs.uk (Dr Timperley)
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Sir,
Despite advances in prosthetic valve design, patients who undergo valve replacement are at risk of arterial thromboembolism and valve thrombosis. We present four cases where new antiplatelet agents have been used.
A 61-year-old man with aortic valve endocarditis underwent early mechanical valve replacement. He developed mitral regurgitation and an aortic-right-atrial fistula requiring surgical closure and mitral valve replacement. He had