Dear colleague, I am writing to inform you regarding our mutual patient, an 81-year-old male admitted for follow-up evaluation following his prior aortic valve replacement. During his brief admission, we performed a thorough cardiac assessment including echocardiography and ECG to evaluate prosthetic valve function and overall cardiac status. Laboratory investigations including coagulation parameters (INR) were reviewed, and anticoagulation therapy was adjusted accordingly. The prosthetic valve demonstrated satisfactory function with no evidence of thrombosis, paravalvular leakage, or endocarditis. Haemodynamic status remained stable throughout admission. Current anticoagulation regimen was optimised prior to discharge. We recommend continued INR monitoring at regular intervals and prompt reassessment should symptoms of dyspnoea, chest pain, or palpitations arise. Please do not hesitate to contact our cardiology department for any further queries.