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World Journal of Pharmaceutical Research (WJPR) will give best paper award in every issue in the form of money along with certificate to promote research activity of scholar.
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Abstract

ANAESTHESIA FOR A CASE OF RHEUMATIC HEART DISEASE WITH PROSTHETIC VALVE AND DERANGED COAGULATION PROFILE POSTED FOR EMERGENCY CRANIOTOMY.

Kiran Nelamanagala, Ravi Madhusudhana*, Dinesh Krishnamurthy, Anand Tippanna Talikoti

ABSTRACT

Management of prosthetic valve patient coming for non-cardiac surgery requires thorough assessment of coagulation profile, cardiac status, bleeding tendencies and thrombosis peri operatively. We present anaesthetic management of a patient with history of rheumatic heart disease with replaced mechanical prosthetic mitral valve on warfarin therapy presented with severe occipital headache with spontaneous subdural hematoma in right parieto-occipital region for emergency craniotomy.

Keywords: Heart valve disease, Prosthesis, altered co-augulation, Craniotomy, Anaesthesia.


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