Transcatheter Heart Valve Thrombosis in a Patient With Polycythemia Vera Despite Apixaban Therapy for Atrial Fibrillation

We present a case of transcatheter heart valve thrombosis in a 76-year-old man with paroxysmal atrial fibrillation on therapeutic anticoagulation with apixaban and polycythemia vera. The incidence of transcatheter heart valve thrombosis in patients with atrial fibrillation and on adequate anticoagul...

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Main Authors: Gauranga Mahalwar, MD, Nicole Lao, MD, Arslan Babar, MD, Samir R. Kapadia, MD, Ankur Kalra, MD, David Cutler, MD, Per Wierup, MD
Format: Article
Language:English
Published: Elsevier 2021-02-01
Series:JACC: Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666084920314698
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spelling doaj-e149e29f49b54f7ca5c1fce626897b5a2021-06-07T07:06:40ZengElsevierJACC: Case Reports2666-08492021-02-0132269272Transcatheter Heart Valve Thrombosis in a Patient With Polycythemia Vera Despite Apixaban Therapy for Atrial FibrillationGauranga Mahalwar, MD0Nicole Lao, MD1Arslan Babar, MD2Samir R. Kapadia, MD3Ankur Kalra, MD4David Cutler, MD5Per Wierup, MD6Department of Internal Medicine, Cleveland Clinic Akron General, Akron, Ohio, USADepartment of Internal Medicine, Cleveland Clinic Akron General, Akron, Ohio, USADepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USADepartment of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USADepartment of Internal Medicine, Cleveland Clinic Akron General, Akron, Ohio, USA; Heart, Vascular and Thoracic Department, Cleveland Clinic Akron General, Akron, Ohio, USA; Address for correspondence: Dr. Ankur Kalra, Department of Cardiovascular Medicine, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, 224 West Exchange Street, Suite 225, Akron, Ohio 44302, USA.Heart, Vascular and Thoracic Department, Cleveland Clinic Akron General, Akron, Ohio, USADepartment of Thoracic and Cardiovascular Surgery, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USAWe present a case of transcatheter heart valve thrombosis in a 76-year-old man with paroxysmal atrial fibrillation on therapeutic anticoagulation with apixaban and polycythemia vera. The incidence of transcatheter heart valve thrombosis in patients with atrial fibrillation and on adequate anticoagulation is not well reported. (Level of Difficulty: Intermediate.)http://www.sciencedirect.com/science/article/pii/S2666084920314698anticoagulationantiplateletaortic valveatrial fibrillationthrombosis
collection DOAJ
language English
format Article
sources DOAJ
author Gauranga Mahalwar, MD
Nicole Lao, MD
Arslan Babar, MD
Samir R. Kapadia, MD
Ankur Kalra, MD
David Cutler, MD
Per Wierup, MD
spellingShingle Gauranga Mahalwar, MD
Nicole Lao, MD
Arslan Babar, MD
Samir R. Kapadia, MD
Ankur Kalra, MD
David Cutler, MD
Per Wierup, MD
Transcatheter Heart Valve Thrombosis in a Patient With Polycythemia Vera Despite Apixaban Therapy for Atrial Fibrillation
JACC: Case Reports
anticoagulation
antiplatelet
aortic valve
atrial fibrillation
thrombosis
author_facet Gauranga Mahalwar, MD
Nicole Lao, MD
Arslan Babar, MD
Samir R. Kapadia, MD
Ankur Kalra, MD
David Cutler, MD
Per Wierup, MD
author_sort Gauranga Mahalwar, MD
title Transcatheter Heart Valve Thrombosis in a Patient With Polycythemia Vera Despite Apixaban Therapy for Atrial Fibrillation
title_short Transcatheter Heart Valve Thrombosis in a Patient With Polycythemia Vera Despite Apixaban Therapy for Atrial Fibrillation
title_full Transcatheter Heart Valve Thrombosis in a Patient With Polycythemia Vera Despite Apixaban Therapy for Atrial Fibrillation
title_fullStr Transcatheter Heart Valve Thrombosis in a Patient With Polycythemia Vera Despite Apixaban Therapy for Atrial Fibrillation
title_full_unstemmed Transcatheter Heart Valve Thrombosis in a Patient With Polycythemia Vera Despite Apixaban Therapy for Atrial Fibrillation
title_sort transcatheter heart valve thrombosis in a patient with polycythemia vera despite apixaban therapy for atrial fibrillation
publisher Elsevier
series JACC: Case Reports
issn 2666-0849
publishDate 2021-02-01
description We present a case of transcatheter heart valve thrombosis in a 76-year-old man with paroxysmal atrial fibrillation on therapeutic anticoagulation with apixaban and polycythemia vera. The incidence of transcatheter heart valve thrombosis in patients with atrial fibrillation and on adequate anticoagulation is not well reported. (Level of Difficulty: Intermediate.)
topic anticoagulation
antiplatelet
aortic valve
atrial fibrillation
thrombosis
url http://www.sciencedirect.com/science/article/pii/S2666084920314698
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