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Published in: Journal of Artificial Organs 3/2017

01-09-2017 | Case Report

Anticoagulation therapy for a LVAD patient with acquired warfarin resistance

Authors: Daisuke Yoshioka, Koichi Toda, Takayuki Hidaka, Soichiro Yasuda, Shunsuke Saito, Keitaro Domae, Yoshiki Sawa

Published in: Journal of Artificial Organs | Issue 3/2017

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Abstract

Anticoagulation therapy with warfarin is essential for postoperative management in patients with left ventricular assist device (LVAD). In this manuscript, we report the case of a patient who developed warfarin resistance after LVAD implantation. Although we administered a novel anticoagulant drug in addition to warfarin and aspirin therapy, the patient developed a major stroke. The patient needed continuous intravenous heparinization until heart transplantation for approximately 2 years. Meticulous management of anticoagulation therapy is essential for a LVAD with warfarin resistance. To our best knowledge, our case is the first case of warfarin resistance in a patient with LVAD.
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Metadata
Title
Anticoagulation therapy for a LVAD patient with acquired warfarin resistance
Authors
Daisuke Yoshioka
Koichi Toda
Takayuki Hidaka
Soichiro Yasuda
Shunsuke Saito
Keitaro Domae
Yoshiki Sawa
Publication date
01-09-2017
Publisher
Springer Japan
Published in
Journal of Artificial Organs / Issue 3/2017
Print ISSN: 1434-7229
Electronic ISSN: 1619-0904
DOI
https://doi.org/10.1007/s10047-017-0947-8

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