ACUTE STEMI DUE TO MECHANICAL AV THROMBOSIS IN LIGHT OF NONCOMPLIANCE WITH ANTICOAGULATION THERAPY

Surgical AVR is the best Rx of severe AS by guidelines. Mechanical valves demand lifelong anticoagulation due to the high thrombogenicity. According to the ACC, the target INR is 2.5 if no additional risk factors are present. A 60 YO M. with a PMH of mechanical AVR who presented with severe