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. 2017 Jan 25;12:3. doi: 10.1186/s13019-017-0569-5

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)