Banu Şahin YILDIZ, Nazire BAŞKURT ALADAĞ, İbrahim YILMAZ, Mustafa YILDIZ, Alparslan ŞAHİN

Upper Gastrointestinal System Bleeding Associated with Mallory-Weiss Syndrome in a Patient with Prosthetic Mitral Valve Using Warfarin Sodium

Mallory-Weiss sendromu mide-özefagus bileşkesindeki mukozada yırtıktan kanamaya kadar giden bir durumu ifade eder. Antikoagülan tedavi altındaki protez mitral kapaklı hastalarda kanama hayatı tehdit eden majör bir komplikasyondur. Burada; warfarin sodyum tedavisi altındaki protez mitral kapaklı bir hastada Mallory-Weiss sendromu ile ilişkili üst gastrointestinal sistem kanaması sunulmuştur

Warfarin Sodyum Tedavisi Altındaki Protez Mitral Kapaklı Bir Hastada Mallory-Weiss Sendromu ile İlişkili Üst Gastrointestinal Sistem Kanaması

Mallory-Weiss syndrome refers to bleeding from tears in the mucosa at the junction of the stomach and esophagus. Bleeding has been recognised as the major treatment-limiting complication in patients with prosthetic mitral valve using anticoagulant treatment. We report that upper gastrointestinal system bleeding associated with Mallory-Weiss syndrome in patient with prosthetic mitral valve using warfarin sodium

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1. Knauer CM. Mallory-Weiss syndrome. Characterization of 75 Mallory-weiss lacerations in 528 patients with upper gastrointestinal hemorrhage. Gastroenterology 1976;71:5-8.
2. Choudari CP, Rajgopal C, Palmer KR. Acute gastrointestinal haemorrhage in anticoagulated patients: diagnoses and response to endoscopic treatment. Gut 1994;35:464-6.
3. Norfl eet RG, Smith GH. Mallory-Weiss syndrome after cardiopulmonary resuscitation. J Clin Gastroenterol 1990;12:569-72.
4. De Vries AJ, van der Maaten JM, Laurens RR. Mallory-Weiss tear following cardiac surgery: transoesophageal echoprobe or nasogastric tube? Br J Anaesth 2000;84:646-9.
5. Hallas J, Dall M, Andries A, et al. Use of single and combined antithrombotic therapy and risk of serious upper gastrointestinal bleeding: population based case-control study. BMJ 2006;333:726.