Oral surgery in a child with a prosthetic aortic valve and pulmonary artery stent at risk for thromboembolism

Monisha Gagneja, Prashant Gagneja, Robert Steelman, Robin Shaughnessy, Phyllis Winter Johannes

Research output: Contribution to journalArticle

4 Scopus citations


Children with prosthetic cardiac valves and other invasive mechanical devices that direct blood flow require anticoagulant medication for prevention of thrombosis. Dental surgery for these children has historically consisted of decreasing and/or discontinuing the oral anticoagulant and instituting heparin therapy prior to the planned dental procedure, which can result in thromboembolism and increased morbidity and mortality. This case report demonstrates that oral anticoagulation need not be decreased or discontinued prior to extraction of multiple carious primary teeth in a child at risk for thromboembolism.

Original languageEnglish (US)
Pages (from-to)151-154
Number of pages4
JournalJournal of Clinical Pediatric Dentistry
Issue number2
StatePublished - Dec 1 2007



  • Oral surgery
  • Pediatric
  • Throboembolism
  • Warfarin

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Dentistry(all)

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