L. BARTH RELLER, M.D.
To the editor: The report by Chandraratna and colleagues (1) states that "surgical resection of a vegetation, without valve replacement, has not been previously reported." As a medical intern I helped care for a patient with antibiotic-refractory Serratia marcescens endocarditis who was cured by débridement of vegetations without resection of her tricuspid valve. This case was reported by Alexander, Holloway, and Honsinger (2). Moreover, Parrott and colleagues (3) have reviewed the role of valve débridement without excision in a series of patients who required surgical management for bacterial endocarditis. Thus, earlier reports (2, 3), and now another (1), describe débridement
BARTH RELLER L. Valve Resection for Endocarditis. Ann Intern Med. ;90:277–278. doi: 10.7326/0003-4819-90-2-277_3
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Published: Ann Intern Med. 1979;90(2):277-278.
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