https://www.selleckchem.com/pr....oducts/simufilam.htm
We replaced a metallic valve with a bioprosthetic valve, which is the first time this has been documented in a patient with warfarin resistance. Genetic warfarin resistance is rare and mainly associated with two genes encoding CYP2C9 and VKORC1.In addition to dietary counselling and drug compliance, options in warfarin-resistant patients include increasing the warfarin dose, which carries a risk of bleeding complications, or switching to novel oral anticoagulants, which increases the risk of prosthetic valve thrombosis.We replaced a m