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Congestive heart failure following infective endocarditis in hemodialysis patients has been uniformly fatal in patients treated with antibiotics alone. Thirteen patients on chronic hemodialysis have undergone replacement of the infected valve with an overall survival of 61%. The aortic valve was involved in 10 patients and Staphylococcus aureus the responsible organism in nine. Recurrent bacteremia occurred in two of the eight long-term survivors and was successfully treated with antibiotics in one patient and replacement of the prosthesis in the other. The surgical treatment of infective endocarditis in the hemodialysis patient is an acceptable mode of therapy and its application should not be hindered by reservations concerning operative feasibility or postoperative longevity. As in non-dialysis patients with infective endocarditis and congestive heart failure early operative intervention may substantially improve survival.
K J Lavelle, and
M M Dentino
November 2012,
The Journal of heart valve disease,
K J Lavelle, and
M M Dentino
April 2007,
The International journal of artificial organs,
K J Lavelle, and
M M Dentino
May 2016,
The Journal of heart valve disease,
K J Lavelle, and
M M Dentino
June 2016,
Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia,
K J Lavelle, and
M M Dentino
March 1982,
Canadian journal of surgery. Journal canadien de chirurgie,
K J Lavelle, and
M M Dentino
September 2010,
Chinese medical sciences journal = Chung-kuo i hsueh k'o hsueh tsa chih,
K J Lavelle, and
M M Dentino
August 2011,
The Journal of infection,
K J Lavelle, and
M M Dentino
July 1996,
Kyobu geka. The Japanese journal of thoracic surgery,
K J Lavelle, and
M M Dentino
December 1994,
The Tokai journal of experimental and clinical medicine,
K J Lavelle, and
M M Dentino
December 2004,
Acta cardiologica,
