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CASE REPORT article

Front. Surg.
Sec. Vascular Surgery
Volume 11 - 2024 | doi: 10.3389/fsurg.2024.1404436
This article is part of the Research Topic Diagnosis and Treatment for Arteriosclerosis and Thrombosis View all articles

Management of Perioperative Anticoagulation in Patients with Mechanical Heart Valve Replacement Undergoing Laparoscopic Cholecystectomy: A Case Report of Postoperative Cerebral Embolism

Provisionally accepted
  • Sichuan Taikang Hospital, Chengdu, China

The final, formatted version of the article will be published soon.

    Patients with mechanical heart valve replacement require lifelong anticoagulation therapy, and additional surgeries can pose a risk of bleeding and thromboembolic events due to the need for perioperative anticoagulation management. Here, we present a case report of a patient who underwent laparoscopic cholecystectomy (LC) and endoscopic retrograde cholangiopancreatography (ERCP) after mechanical heart valve replacement and experienced postoperative cerebral embolism. The management of perioperative anticoagulation in these patients is discussed, including strategies for minimizing the risks of bleeding and thromboembolic events during and after surgery.

    Keywords: perioperative anticoagulation, Mechanical heart valve replacement, Abdominal surgery, postoperative cerebral embolism, warfarin bridging therapy

    Received: 21 Mar 2024; Accepted: 08 Aug 2024.

    Copyright: © 2024 Tang and He. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Panli Tang, Sichuan Taikang Hospital, Chengdu, China

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