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Valve debridement without resection has been previously reported as a successful surgical management strategy for bacterial endocarditis.
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This letter clarifies the historical precedent of surgical debridement of vegetations without valve replacement for infective endocarditis.
Letters1 February 1979Valve Resection for EndocarditisL. BARTH RELLER, M.D.L. BARTH RELLER, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-90-2-277_3 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo 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-refractorySerratia marcescensendocarditis 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...References1. CHANDRARATNAREAGANIMAIZUMILANGEVINELKINS PRTER: Infective endocarditis cured by resection of a tricuspid valve vegetation. Ann Intern Med 89:517-518, 1978 LinkGoogle Scholar2. ALEXANDERHOLLOWAYHONSINGER RAR: Surgical debridement for resistant bacterial endocarditis: a case of antibiotic-refractory Serratia marcescens infection on the tricuspid valve cured by operative excision. JAMA 210:1757-1759, 1969 CrossrefMedlineGoogle Scholar3. PARROTTHILLKERTHGERBODE JJWF: The surgical management of bacterial endocarditis: a review. Ann Surg 183:289-292, 1976 CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byTreatment 1 February 1979Volume 90, Issue 2Page: 277-278KeywordsEndocarditisPatientsSerratia marcescensSurgical resectionValve replacement ePublished: 1 December 2008 Issue Published: 1 February 1979 PDF downloadLoading ...
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L. Barth Reller (1979) conducted a letter in Endocarditis. Valve debridement without resection was evaluated. Valve debridement without resection has been previously reported as a successful surgical management strategy for bacterial endocarditis.
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