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An otherwise healthy woman in her fifties, who had rheumatic fever as a child, had a stroke a couple of months after a valve replacement. Is there any possible correlation????

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An otherwise healthy woman in her fifties, who had rheumatic fever as a child, had a stroke a couple of months after a valve replacement. Is there any possible correlation????

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Yes, if we are sure that the stroke was of a thromboembolic rather than hemorrhagic pattern. Typically, management of people with metal heart valves include coumadin anticoagulation which usually prevents emboli originating from the valve. Another possibility is mechanical valve failure with parts of the valve breaking off in a shower of emboli.

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