For a patient who never had bypass, no stent, but had asd closure, a-fib and chf, clopidogrel+warfarin really required?

To clot or bleed?: For a patient in their 30's with history of ASD s/p closure, a-fib and chf, but no cad, dual therapy may be required. Facts such as CHF severity, prior thromoembolic events from a-fib or asd, ventricular clots, and personal & family history of blood clots can help influence the decision to stop or continue dual therapy. Decision is best made by collaboration between cardiology & the ct surgery.