The online version of this article (doi:10.1186/1752-1947-6-150) contains supplementary material, which is available to authorized users.
The authors declare that they have no competing interests.
AH wrote up the case report and discussion. TV revised the manuscript. Both authors were closely involved with the care of the patient and the acquisition of the images. Both authors read and approved the final manuscript.
Mechanical valves in the tricuspid position may be prone to thrombosis with even brief lapses in anticoagulation. The management of patients with a history of recurrent mechanical tricuspid valve thrombosis who require noncardiac surgery is complex.
A 43-year-old Pakistani woman with a mechanical tricuspid valve and a history of multiple episodes of mechanical valve thrombosis presented for noncardiac surgery. After her surgery she was found to have another episode of valve thrombosis and underwent a redo tricuspid valve replacement.
This case brings up the important dilemma that exists when patients with a mechanical tricuspid valve and a history of recurrent valve thrombosis require noncardiac surgery.
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- Management of recurrent mechanical prosthetic tricuspid valve thrombosis in the perioperative period of noncardiac surgery: a case report
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