Don W. Chapman, M.D., F.A.C.P.; William L. Winters, M.D., F.A.C.P.; H. Liston Beazley, M.D., F.A.C.P.; Paul K. Peterson, M.D.; Temple W. Williams, M.D., F.A.C.P.; Jimmy F. Howell, M.D.
Chapman DW, Winters WL, Beazley HL, Peterson PK, Williams TW, Howell JF. Prosthetic Valve Replacement in Active Bacterial Endocarditis.. Ann Intern Med. 1969;70:1074. doi: 10.7326/0003-4819-70-5-1074_2
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Published: Ann Intern Med. 1969;70(5):1074.
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In 19 cases of active bacterial endocarditis terminal heart failure necessitated prosthetic valve replacement. The organisms included five due to alpha streptococci; two, gamma streptococci; three, pneumococci; and four due to staphylococci; in five the organism was undetermined. Hemodynamic studies revealed predominently severely regurgitating valves, elevated right-sided pressures, and low cardiac output. There were ten patients with aortic insufficiency who survived, both of the mitral valve patients lived, and one of the three combined mitral and aortic valve patients survived. Vegetations and leaflet perforation were constant findings, and abscess at the base of the valve made it difficult to suture
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Cardiology, Endocarditis, Infectious Disease, Valvular Heart Disease.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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