Question

A 58-year-old man with a mechanical aortic valve on warfarin is scheduled for hernia repair (moderate bleeding risk). What is the perioperative anticoagulation approach?

Accepted Answer

Stop warfarin and bridge with therapeutic LMWH pre- and post-op

Answer

Stop warfarin and do not bridge due to moderate risk

Answer

Continue warfarin through surgery

Answer

Switch to DOAC temporarily

Answer

Hold warfarin day of surgery only

Practice question

A 58-year-old man with a mechanical aortic valve on warfarin is scheduled for hernia repair (moderate bleeding risk). What is the perioperative anticoagulation approach?