Heparinization after Le Fort I osteotomy in a patient with chronic atrial fibrillation.
The middle-aged patient with a dentofacial deformity complicated by partial edentulism and underlying medical problems presents a challenge to the orthodontic-surgical team. The clinical management of a 51-year-old man with maxillary deficiency and chronic atrial fibrillation is presented. Preoperative evaluation and planning, and a scheme and rationale for perioperative anticoagulation, are crucial. The etiology and risks of chronic atrial fibrillation are reviewed along with anticoagulation therapy.
Ochs
M W
MW
University of Florida, College of Dentistry, Gainesville 32610.
Terry
B C
BC
Proffit
W R
WR
D001281:Atrial Fibrillation; D016025:Bone Transplantation; D002908:Chronic Disease; D003730:Dental Care for Persons with Disabilities; D006493:Heparin / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D008313:Malocclusion, Angle Class III / Q000601:surgery*; D008334:Mandible / Q000601:surgery; D008875:Middle Aged; D010027:Osteotomy; D010347:Patient Care Planning; D011182:Postoperative Care; D013997:Time Factors
D006493:Heparin