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KMID : 0364019760090020215
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Korean Journal of Thoracic and Cardiovascular Surgery
1976 Volume.9 No. 2 p.215 ~ p.219
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Ovarian Hematoma After Double Valve Replacement
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안광필/Ahn, Kwang-Phil
노준량/김종환/서경필/이영균/Rho, Joon Ryang/Kim, Chong Whan/Suh, Kyung Phill/Lee, Yung-Kyoon
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Abstract
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Anticoagulation therapy with Wafarin and Dipyridamole is useful after prosthetic heart valve replacement for the prevention of thromboembolic accidents. Here presented a case of right ovarian hematoma, 41 years old, female who has been already treated double valve replacement due Ito mitral insufficiency, and tricuspid insufficiency with 27 mm Bjo^(¨)rk-Shiley mitraland 29 mm Hancock tricuspid valve successfully on 27th, April, 1976. Just after the operation, patient was treated the anticoagulation therapy with Dipyridamole 300mg, and Heparin, and later switched to Wafarin 3.75 mg or 5 mg p.o. as the maintenance dose. Three and half months after the anticoagulation therapy, patient complained the lower abdominal pain and vaginal spotting and which revealed right ovarian hematoma due to ovulation, manifested due to anticoagulation therapy. Patient was discharged postoperative 16th day with the maintenance dose 5mg Wafarin and Dipyridamole 300 mg p.o to maintain the prothrombin time 30%, after the uterus and both ovaries and both adnexae are resected out for the prevention of the further, hemorrhage of ovary.
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