• A&A practice · Jul 2019

    Case Reports

    Orthotopic Liver Transplant in a Patient Anticoagulated With Rivaroxaban: A Case Report.

    • Pascal H Vuilleumier, Michael Nagler, Guido Beldi, and Andreas Vogt.
    • From the Departments of Anesthesiology and Pain Medicine.
    • A A Pract. 2019 Jul 15; 13 (2): 54-57.

    AbstractDirect oral anticoagulants are approved for use in the United States and Europe and are increasingly used in chronic liver disease patients who have or are at risk of thrombotic events. While these drugs are clinically attractive because no monitoring is required, the risks and benefits in patients with hepatic or renal insufficiency who undergo surgery remain unclear. In this report, we describe the perioperative consequences, safety issues, and lessons learned from a patient undergoing an orthotopic liver transplant who was anticoagulated with rivaroxaban due to partial superior mesenteric vein thrombosis.

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