Hi, Have first mitral valve replacement in 2015. in 2018 there is clot on mechanical valve. Again surgery in 2018. My acitrom dose is increasing constantly but my inr keeps on decreasing.

Suggestions offered by doctors on Lybrate are of advisory nature i.e., for educational and informational purposes only. Content posted on, created for, or compiled by Lybrate is not intended or designed to replace your doctor's independent judgment about any symptom, condition, or the appropriateness or risks of a procedure or treatment for a given person.