Contemporary medicine saw rapid development of artificial valves, as well as evolution of surgical techniques allowing their implantation in a growing number of patients. Primary care and cardiology offices are providing ongoing care for an increasing number of patients post valve surgery. One of the most crucial aspects of this ongoing care is prevention of prosthetic valve thrombosis (PVT). Our case report illustrates the importance of maintaining effective anticoagulation at all times by presenting a case of massive prosthetic valve thrombosis of a mechanical mitral valve.
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