My colleagues and I, from "Clínica Puerta de Hierro" – Madrid, Spain
are interested in discussion about current practices in the very early
postoperative period after implantation of mechanical heart valves.
Our current strategy is to initiate subcutaneous heparin as soon as the
patient leaves the ICU (and chest tubes are removed), as well as
coumadin. That means that we initiate anticoagulation at the third day.
What are your routine experience?
Thank you.
Marcelo Sanmartin
E-mail: marc…@OMC.telprof.es