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stroke prevention

My patient had an ischemic stroke 1 month ago. ECG shows sinus rhythm, echo: mildly dilated left atrium (44 mm) mitral regurgitation 2+, otherwise normal. (no MVP , no rheumatic fever in previous medical history) Is it necessary to give VKA or ASA ?
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367994 tn?1304953593
Thanks for your question and your answer may be found with the following link.  http://chestjournal.chestpubs.org/content/133/6_suppl/593S.abstract.
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