Do you need anticoagulation after mitral valve repair?

Anticoagulation is recommended for the first 3 months after bioprosthetic mitral valve replacement. The recommendation is surmised from a few small retrospective studies with diverging results and in practice, a large proportion of patients do not receive anticoagulation after mitral repair.

What should I avoid if I have mitral valve regurgitation?

Limit your consumption of sodium, saturated and trans fats, added sugars, and alcohol. And load up on veggies, fruits, whole grains, lean meats, fish, legumes, and vegetable oils. These are the foundation of what’s often referred to as a “heart-healthy diet.”

Do you have to take blood thinners after valve replacement?

You are less likely to need a mechanical valve replaced in your lifetime. But they can cause blood clots, so you’ll take a blood thinner called warfarin (such as Coumadin). Tissue valves are less likely to cause blood clots, so you don’t have to take warfarin.

Is there any benefit to warfarin after mitral valve repair?

Status: Green (complete) In patients who have undergone [mitral valve repair] does [warfarin] have any benefit in terms of [survival or reducing thromboembolic complications]? You are looking after a 55-year old man with mitral regurgitation who underwent a mitral valve repair with a quadrangular P2 resection and an annuloplasty ring.

When to use oral anticoagulation after mitral valve replacement?

The authors recommended oral anticoagulation for 3 months, until the endothelialization of the newly implanted prosthesis and suture material takes place. Aramendi JL et al reported on the thromboembolic risk of 235 patients having replacements or repairs from 1990-1995.

How long should warfarin be anticoagulated after surgery?

Given these observations, coupled with the increased bleeding risk with warfarin, we advocate a selective approach to postoperative anticoagulation (Figure 3). For patients with bioprosthetic aortic valves, anticoagulation for 3-6 months is indicated in patients with established risk factors, such as atrial fibrillation.

How much warfarin to take for valvular heart disease?

At a dose of 75 to 100 mg/day in addition to warfarin in all patients with mechanical valves (Class I recommendation; Level of evidence: A)

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