Difficuly situation: Which valve is it. If it is mitral you have to correct coaguloapthy. You must get input from a neurosurgeon, a cardiologist and your primary care.
Answered 9/28/2016
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Complex problem: This is a serious situation. An inr of 8 (normal in the U.S. Being 1.0-1.2) is excessively high. The most life-threatening issue at this juncture is the ich and expansion of it. That needs to be corrected or at least lowered in an ICU setting. Once the ich is stabilized or operated upon one can then carefully re-institute the anti-coagulation
Answered 6/10/2014
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