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ARTICLE |

Early Surgical Treatment of Valvular Endocarditis

Benson R. Wilcox, MD; Herbert J. Proctor, MD; Charles E. Rackley, MD; Richard M. Peters, MD
JAMA. 1967;200(10):820-823. doi:10.1001/jama.1967.03120230072008.
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Three patients with valvular destruction secondary to bacterial endocarditis were treated by early valvular replacement. Operative intervention prior to completion of the conventional prolonged course of antibiotic therapy was necessitated by hemodynamic collapse in two patients and by drug resistance in a third patient. Six weeks after valve replacement in the patient in case 1, he successfully underwent left pneumonectomy for carcinoma of the lung. Following surgery, the three patients are doing well, with no evidence of infection or congestive heart failure.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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