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MCQ 25: Mechanical prosthetic valve (35)

Q. All of the following are relative contraindications of mechanical prosthetic valve except?
A. Long expected lifetime
B. Unreliable anticoagution therapy
C. Pregnancy
D. Previous thormbosed valve


Answer: A. Long expected lifetime


Explanation:
Long expected lifetime is an indication for mechanical prosthetic valve as bioprosthetic valve gets degenerated in 10-15 years.
Mechanical prosthetic valves have a high risk of valve thrombosis and hence require lifelong anticoagulation. Anticoagulation becomes problematic in pregnancy. And, previous history of valve thrombosis increases the risk of recurrent valve thrombosis.

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