Oral surgery in a child with a prosthetic aortic valve and pulmonary artery stent at risk for thromboembolism.
Children with prosthetic cardiac valves and other invasive mechanical devices that direct blood flow require anticoagulant medication for prevention of thrombosis. Dental surgery for these children has historically consisted of decreasing and/or discontinuing the oral anticoagulant and instituting heparin therapy prior to the planned dental procedure, which can result in thromboembolism and increased morbidity and mortality. This case report demonstrates that oral anticoagulation need not be decreased or discontinued prior to extraction of multiple carious primary teeth in a child at risk for thromboembolism.
Gagneja
Monisha
M
Pediatric Dentistry, Oregon Health and Science University, Portland 97239, USA.
Gagneja
Prashant
P
Steelman
Robert
R
Shaughnessy
Robin
R
Johannes
Phyllis Winter
PW
D000925:Anticoagulants / Q000627:therapeutic use; D002648:Child; D019140:Dental Care for Children; D017742:Dental Care for Chronically Ill; D003731:Dental Caries / Q000601:surgery; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D008297:Male; D011651:Pulmonary Artery; D015607:Stents / Q000009:adverse effects*; D013923:Thromboembolism / Q000517:prevention & control*; D014081:Tooth Extraction / Q000009:adverse effects / Q000379:methods*; D014859:Warfarin / Q000627:therapeutic use
D000925:Anticoagulants; D014859:Warfarin; D006493:Heparin