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Anticoagulation after mechanical heart valve replacement is indispensable to prevent valve 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).

Normally Functioning Tilting Disc Mechanical Mitral and Aortic Valve Prosthesis without Anticoagulant Therapy - An Unusual Case