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Heart Disease (Expert Forum)
Marcoumar
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.
Marcoumar
by Theo-v-Vurden, Oct 11, 1998 12:00AM
I'm a man of 43 years old and 5 jears ago I had an aneurisma.
Now I have an aortic valve with a craaft(st. Jude)
I'm feeling very well, but I always feld well.
Now I have to go for an operation and my blood must have a INR of 1.5
for a few hours. (trombosepercent. of 35%)Am I gonne survive or is this
very dangerous.Thank you so far, and sorry for the writing mistakes.
Doctor's Answer
by CCF CARDIO MD APS, Oct 11, 1998 12:00AM
Dear Theo,
Firstly, it is impossible to answer this question without knowing what kind of
surgery you need, as well as what the indication is for that surgery.
So long as you have the St.Jude valve you will be on a blood thinner, and at
any point, should you need surgery, the medicine called coumadin that thins the
blood must be stopped and replaced with the IV blood thinner called heparin which
is much easier to manipulate. If the blood is too thin, you will have potentially life-threatening
bleeding during and after surgery. The risk of being off all blood thinners is that your
St.Jude valve can clot, luckily the St.Jude is the least likely valve prosthesis to clot.
Talk with you doctors regarding these genuine concerns of yours. Good Luck.
I hope you find this information useful. Information provided in the heart forum is for general medical informational purposes only. Only your physician can provide specific diagnosis and therapies.
Please feel free to write back with additional questions.
If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter. The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your problem.
