Table 2.
List of re-explorations for bleeding after EPW removal
| Operation | Medication | EPW removal | Reexploration | INR/PTT | Complications |
|---|---|---|---|---|---|
| AVR | ASA + VKA + Hep. | 16 POD | Pericard drainage | INR = 1.3 PTT = 99 | none |
| AVR | ASA + VKA + Hep. | 6 POD | Repeat sternotomy | INR = 1.9 PTT = 41 | Blood transfusion (RBC 2 packages) |
| AVR | ASA + VKA | 7 POD | Repeat sternotomy | INR = 2.2 | fatal |
| CABG | DAPT + LMWH | 11 POD | Pericard drainage | - | Blood transfusion (RBC 2 packages) |
| CABG | DAPT + LMWH | 9 POD | Repeat sternotomy | INR = 1.3 PTT = 30 | Blood transfusion (RBC 2 packages) Wound complications |
| Myectomy | LMWH | 11 POD | Pericard drainage | INR = 1.2 PTT = 28 | none |
| MV repair, occlusion LAA | DAPT + VKA + Hep. | 7 POD | Repeat sternotomy | INR = 2.0 PTT = 38 | fatal |
| AVR + CABG + aorta asc. replac. | ASA + VKA + Hep. | 12 POD | Pericard drainage | INR = 1.8 PTT = 32 | none |
(AVR = aortic valve replacement, CABG = coronary artery bypass grafting, MV = mitral valve, LAA = left atrial appendage, asc = ascending, replac = replacement, ASA = aspirin, VKA = vitamin K antagonist, Hep = heparin, LMWH = low molecular weight heparin, DAPT = dual antiplatelet therapy, POD = postoperative day, RBC = red blood cells)