Open AccessMechanical Prosthetic Heart Valve Thrombosis in a Patient Receiving Rivaroxaban
Author(s) -
Daniela Marisa Carvalho Silva,
Adriano H. Braga,
I Jesus,
José Pedro Neves
Publication year - 2019
Publication title -
cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.547
H-Index - 63
eISSN - 1421-9751
pISSN - 0008-6312
DOI - 10.1159/000501361
Subject(s) - rivaroxaban , medicine , discontinuation , warfarin , mechanical heart valve , mechanical heart , thrombosis , mechanical valve , prosthesis , surgery , cardiology , atrial fibrillation , heart valve
Direct oral anticoagulants are not approved for use in patients with mechanical valves. When used to replace vitamin K antagonists, they may cause catastrophic consequences. The authors describe the case of a patient who, after discontinuation of warfarin and introduction of rivaroxaban, developed thrombosis of his mechanical mitral prosthesis.