Corresponding author
Zouheir Ibrahim Bitar FRCP, EDIC Critical care Unit, Ahmadi hospital, Kuwait oil company POBOx 46468 , Postal code 64015 Fahaheel zbitar@kockw.com
Abstract
A 39-year-old woman who was taking contraceptive pills was admitted with right leg deep venous thrombosis (DVT). She was started on apixaban tablets, and after 8 days, she developed proximal progression of DVT and pulmonary embolism. Her past medical history later showed a history of sleeve gastrectomy. The patient responded to a vitamin K antagonist after heparin. The failure of the antithrombotic drug shed light on the efficacy and pharmacodynamic changes of DOACs after bariatric surgery in the absence of commercially available blood monitoring tests.
Key words Apixaban, Bariatric Surgery, thromboembolism