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Open Heart Surgery Following Bacterial Endocarditis.

William B. Stason, M.D.; Roman W. DeSanctis, M.D., F.A.C.P.; Arnold N. Weinberg, M.D.; and W. Gerald Austen, M.D.
Ann Intern Med. 1968;68(5):1163. doi:10.7326/0003-4819-68-5-1163_2
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Open heart surgery was performed at the Massachusetts General Hospital in 13 patients less than 6 months after the initiation of treatment for acute or subacute bacterial endocarditis. The endocarditis involved the aortic valve in 12 cases and a mitral valve prosthesis in the other. In 2 patients there was concomitant rupture of chordae tendineae in the mitral valve. Five patients were still receiving antibiotics for their mitral infection at the time of surgery. The primary indication for surgery in all cases was progressive or intractable congestive heart failure. Ten underwent replacement of the aortic valve alone, 2 had both


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