E. Robin, M.D., F.A.C.P.; S. Ganguly, M.D.; A. Arbulu, M.D.
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Failure in the management of right-sided bacterial endocarditis caused by Pseudomonas aeruginosa in many heroin addicts has prompted a new therapeutic approach, that of surgical excision of the diseased valves without prosthetic replacement. To date, this operation has been done in 10 patients. Nine of these have had excision of their tricuspid valve, and in one patient both pulmonic and tricuspid valves were excised. These patients have been followed for 4 to 24 months. Eight patients have survived without heart failure or infection. Two have died of uncontrollable septicemia, 2 and 4 months after surgery. Two patients had a second
Robin E, Ganguly S, Arbulu A. A New Approach to the Management of Uncontrolled Right-Sided Bacterial Endocarditis.. Ann Intern Med. ;78:821. doi: 10.7326/0003-4819-78-5-821_3
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Published: Ann Intern Med. 1973;78(5):821.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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