Use of enoxaparin in the setting of warfarin induced calciphylaxis in an ESRD patient with a mechanical heart valve

Nisha Patel; Peter Gregos; Soniya Chandrasekhara; Eshan Patel

doi:10.22541/au.159707888.81141431

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Use of enoxaparin in the setting of warfarin induced calciphylaxis in an ESRD patient with a mechanical heart valve

Nisha Patel,
Peter Gregos,
Soniya Chandrasekhara,
Eshan Patel

Abstract

Calciphylaxis creates a challenge in anticoagulation therapy for patients with mechanical heart valves and ESRD as warfarin cannot be used. We describe our approach in using enoxaparin as an alternative for anticoagulation in a patient with a mechanical heart valve and ESRD who developed calciphylaxis from warfarin.