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Ann Thorac Surg 2000;69:264-265
© 2000 The Society of Thoracic Surgeons
a Department of Thoracic and Cardiovascular Surgery, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel
Address reprint requests to Dr Mohr, Department of Thoracic and Cardiovascular Surgery, Tel-Aviv Sourasky Medical Center, 6 Weizman St, Tel-Aviv 64239, Israel
There is no adequate substitute therapy for patients with prosthetic heart valves, in whom anticoagulation with warfarin or unfractionated heparin must be withheld. In the literature there are several reports describing successful treatment with low-molecular-weight heparin in patients with prosthetic heart valves. We report two cases of low-molecular-weight heparin treatment failure resulting in thrombosed prosthetic heart valves with stormy clinical presentations, who underwent successful valve replacements.
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