Warfarin-Induced Skin Necrosis and Heparin-Induced Thrombocytopenia following Mitral Valve Replacement for Marantic Endocarditis

Craig A. White, Darryl A. Chung, Martyn Thomas, Michael T. Marrinan
King’s College Hospital, London, UK

 

Hemostatic physiology involves a complex interlinking of blood and endothelial factors. Its pharmacological manipulation invariably impacts at multiple molecular sites. Herein is reported an unusual case of coexistent warfarin-induced skin necrosis and heparin-induced thrombocytopenia following mitral valve replacement

for thromboembolic phenomena associated with marantic endocarditis and bronchial adenocarcinoma. Thrombophilia in the face of endocarditis should be treated with a suspicion of underlying cancer.

The Journal of Heart Valve Disease 2006;15:716-718

 
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