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Four Factor Prothrombin Complex Concentrate for Anticoagulation Reversal in an LVAS Patient Undergoing Robotic Prostatectomy: A Case Report

Jessica Rimsans, Brooke M Fortin, Katelyn W Sylvester, Peter Collins, Mollie Semmer, Katie A Frankel, Jeffrey M Howard, Adam S Kibel, Lara Coakley, Michael M Givertz and Jean M Connors

Recipients of left ventricular assist system (LVAS) require long-term anticoagulation with warfarin to prevent thromboembolic complications. We discuss a successful case of the use of four factor prothrombin complex concentrate (4F-PCC) for temporary warfarin reversal in a patient with a HeartMate 3 LVAS requiring robotic assisted laparoscopic prostatectomy.