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Some heart valve patients should remain on blood thinners (except during the actual elective surgery itself). Coumadin&reg is usually stopped several days before surgery and substituted with intravenous heparin. Although this form of anticoagulant therapy is much less convenient heparin has a short life span in the body and will be cleared rapidly after stopping therapy. Coumadin&reg for several days while continuing to thin the blood with heparin up until the elective operation is performed. Coumadin&reg effect has worn off (usually about 3 days) the heparin can be stopped shortly before the start of the elective operation. Coumadin&reg is then restarted when the patient can take oral medications. The safety of operating without any anticoagulation on board must be weighed against the inconvenience(s) of these additional steps. Coumadin is still in effect at the time of your surgery. NOT intended for any diagnostic clinically related or other purpose. I have received numerous questions through ClotCare from DVT and PE patients who want to know where they can go for support.

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