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Hello doctor! My father had surgery to replace the mitral valve, repair the tricuspid valve for 3 years. But now, my father has just had a stroke, has a cerebral infarction, and is currently weak, and his limbs are shaking and it is difficult to walk. I hope the doctor advises on how the person who has had a mitral valve replacement or a tricuspid valve repair has a cerebral infarction should be treated? Thank you doctor
Hang Hai Huyen (1991)
Reply
Hello! Your father's condition may be due to stenosis or mitral regurgitation – tricuspid regurgitation (operating) with atrial fibrillation. Your father has been on anticoagulants after surgery, but he may not have taken the full dose (shown by the INR) or not checked regularly or because of atrial fibrillation, a blood clot formed in the heart, then the blood clots in the blood stream. Blood goes to the brain causing cerebral infarction, causing weakness of the body.
Treatment for your family member in this case includes:
Good control of blood pressure Good adjustment of anticoagulant dose Rehabilitation exercise to improve mobility Prevention of falls Prevention of choking: if family member if you eat, there are signs of choking, usually manifested by coughing when eating and drinking, Prevention of ulcers caused by immobility lying in one position for a long time by turning frequently, using anti-ulcer cushions In the case of your family members, you should take them to a specialist. Department of Neurology and Cardiology for the most appropriate consultation and monitoring. However, treating patients after a stroke is a long and arduous process that requires effort and good coordination from the patient and family.
You can choose a hospital under Vinmec Health System to register for medical examination and check the current health of your family members. Thank you for trusting and sharing the question "How should a person who has had a mitral valve replacement, repaired a tricuspid valve have a cerebral infarction?" to Vinmec. Wishing your family good health always.
Answered by Master, Doctor Nguyen Van Phong - Internal Medicine and Cardiovascular Interventionist - Cardiovascular Center - Vinmec Times City International Hospital
