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Original Research

Open Access

Oral Surgery in a Child with a Prosthetic Aortic Valve and Pulmonary Artery Stent at Risk for Thromboembolism

  • Monisha Gagneja1
  • Prashant Gagneja1
  • Robert Steelman2*,
  • Robin Shaughnessy3
  • Phyllis Winter Johannes3

1Pediatric Dentistry, Oregon Health and Science University

2Pediatric Critical Care Medicine and Oral and Maxillofacial Surgery, Oregon Health and Science University

3,Oregon Health and Science University

DOI: 10.17796/jcpd.32.2.y8n7r425302u3vp8 Vol.32,Issue 2,March 2008 pp.151-154

Published: 01 March 2008

*Corresponding Author(s): Robert Steelman E-mail: steelmar@ohsu.edu

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Abstract

Children with prosthetic cardiac valves and other invasive mechanical devices that direct blood flow require anticoagulant medication for prevention of thrombosis. Dental surgery for these children has historically consisted of decreasing and/or discontinuing the oral anticoagulant and instituting heparin therapy prior to the planned dental procedure, which can result in thromboembolism and increased morbidity and mortality. This case report demonstrates that oral anticoagulation need not be decreased or discontinued prior to extraction of multiple carious primary teeth in a child at risk for thromboembolism.

Keywords

oral surgery, warfarin, throboembolism, pediatric

Cite and Share

Monisha Gagneja,Prashant Gagneja,Robert Steelman,Robin Shaughnessy,Phyllis Winter Johannes. Oral Surgery in a Child with a Prosthetic Aortic Valve and Pulmonary Artery Stent at Risk for Thromboembolism. Journal of Clinical Pediatric Dentistry. 2008. 32(2);151-154.

URL:

https://www.jocpd.com/articles/10.17796/jcpd.32.2.y8n7r425302u3vp8

References

1. Carter G. and A. Goss. Tranexamic acid mouthwash – A prospective randomized study of a 2 day regimen vs. 5 day regimen to prevent post-operative bleeding in anticoagulated patients requiring dental extrac-tions. Int. J. Oral Maxillofacial Surg, 32: 304–307, 2003.

2. Scully C. and A. Wolff. Oral surgery in patients on anticoagulant ther-apy. Oral Surg Oral Med Oral Path, 94(1): 57–64, 2002.

3. Wahl, MJ. Dental surgery in anticoagulated patients. Arch Intern Med, 158: 1610–1616, 1998.

4. Souto, JC, A. Oliver, I. Zuazu-Jansoro, A. Vives and J. Fontcuberta. Oral surgery in anticoagulated patients without reducing the dose of oral anticoagulant. J. Oral Maxillofac. Surg, 54: 27–32, 1996.

5. Beirne, OR. Evidence to continue oral anticoagulant therapy for ambu-latory oral surgery. J. Oral Maxillofac. Surg, 63: 540–545, 2005.

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