Managing anticoagulation in a patient with Calciphylaxis and mechanical valve: a therapeutic dilemma
In a mechanical-valve patient with ESRD and suspected calciphylaxis, sustained, full-dose subcutaneous UFH served as a pragmatic alternative to warfarin, allowing wound stabilization without short-term valve complications. Early recognition, multidisciplinary coordination, and individualized anticoagulation strategies are critical to balance thrombotic and calciphylaxis risks.
Authors
- Abubakar Nazir (ORCID: https://orcid.org/0000-0002-6650-6982)
- Abdalhakim R. M. Shubietah (ORCID: https://orcid.org/0000-0002-8300-0262)
- Muath Baniowda (ORCID: https://orcid.org/0000-0002-0457-738X)
- Qutaiba Qafisheh (ORCID: https://orcid.org/0000-0002-2128-4028)
- Abdalrahman Assaassa
- Mohanad Qwaider (ORCID: https://orcid.org/0009-0002-2150-5772)
- Roaa Aljunaidi (ORCID: https://orcid.org/0000-0003-2506-9592)
Institutions
- Thomas Jefferson University Hospital (US)
- Palestine Polytechnic University (PS)
- Rwanda Meteorological Service (RW)
- Advocate Illinois Masonic Medical Center (US)
- Jewish Hospital (US)
- University of Missouri–Kansas City (US)
- University of Toledo (US)
Publication Details
- Journal
- Oxford Medical Case Reports
- Published
- 2025-09-15
- DOI
- https://doi.org/10.1093/omcr/omaf215
- Citations
- 1
- Primary Topic
- Cardiac Valve Diseases and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 1.39