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Apixaban use in an atrial fibrillation patient with double mechanical heart valves: a case report.


ABSTRACT:

Background

Warfarin is the only approved oral anticoagulant for long-term prophylaxis against valve thrombosis and thromboembolism in patients with mechanical heart valves. To date, apixaban for patients with double (aortic and mitral) mechanical heart valves has not been reported in the literature.

Case summary

We report the case of a 50-year-old female who underwent double (aortic and mitral) mechanical valve replacement in February 2017. Warfarin was prescribed after mechanical valve replacement. However, she complained of side effects of warfarin, including tingling sensation and numbness of legs, urticaria, skin rash, and nausea and voluntarily stopped taking medication. In December 2018, she was admitted to the emergency room due to ongoing chest pain. Coronary angiogr

SUBMITTER: Eom JY 

PROVIDER: S-EPMC8343445 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature