Aorta valve replacement: It is getting... - Hughes Syndrome -...

Hughes Syndrome - APS Support
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Aorta valve replacement

msins
msins

It is getting closer to when I'll have to get my aorta valve replaced. Besides having my hematologist draw up a bridging plan, is there anything else that I need to do to prevent from throwing a blood clot when I am off my Coumadin 6 days prior to surgery. I am confident that the surgery will be successful but concern that I will throw a blood clot some time after surgery, such as when I'm driving on the highway. I had a major stroke in 1992 and had complete recovery and have been on Coumadin ever since. That is how it was discovered that I had APS. Is there anyone out here who has had heart surgery successfully.

5 Replies
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Why must you stop the coumadin 6 days prior? That seems a bit extreme. Cindy

msins
msins
in reply to Wittycjt

That is what dr said

Wittycjt
Wittycjt
in reply to msins

Maybe you need to ask why?

HollyHeski
HollyHeskiAdministrator

Hi, yes the warfarin needs to be stopped but usually a bridging plan (heperin injections) is put in place before/after any surgery.

You need to discuss this with your surgeon and your APS specialist, let them know of your concerns.

Wishing you well with your surgery.

I wanted to echo what Holly said. I had my mitral valve replaced in 2006 after a complication that happened during the first attempt in 2005 - that's how I found out about my APS. Whenever I've had surgery of any kind, the protocol has been the same: 5 days prior stop taking Coumadin and switch to Lovenox injections twice a day, the night before the procedure hold all anticoagulants. Restart anticoagulation when your hematologist and surgeon decide it's safe. Restart w/ both Coumadin and Lovenox injections until in a therapeutic range. Best of luck!

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