Management of recurrent mechanical prosthetic tricuspid valve thrombosis in the perioperative period of noncardiac surgery: a case report.
BACKGROUND
Mechanical valves in the tricuspid position may be prone to thrombosis with even brief lapses in anticoagulation. The management of patients with a history of recurrent mechanical tricuspid valve thrombosis who require noncardiac surgery is complex.


METHODS
A 43-year-old Pakistani woman with a mechanical tricuspid valve and a history of multiple episodes of mechanical valve thrombosis presented for noncardiac surgery. After her surgery she was found to have another episode of valve thrombosis and underwent a redo tricuspid valve replacement.


CONCLUSIONS
This case brings up the important dilemma that exists when patients with a mechanical tricuspid valve and a history of recurrent valve thrombosis require noncardiac surgery.
Department of Cardiovascular Diseases and Hypertension, Robert Wood Johnson University Hospital, 5th floor MEB, 1 RWJ Place, New Brunswick, NJ, 08901, USA. amenahussain2@gmail.com.
Amena
A
Hussain
Tudor
T
Vagaonescu