1. The onset of congestive cardiac failure in the course of infective endocarditis carries a grave prognosis (Manhas;of all infected tissue;et al; In our patient increasing cardiac failure was evidently induced by the development of a pericardial effusion and aggravated by tricuspid valve regurgitation. At operation both valve and pericardial fluid were found to be sterile, and bactericidal antibiotic blood levels had been obtained for 18 days before operation. In view of a total of 7 weeks' antibiotic therapy it seems unlikely that active staphylococcal infection was the cause of the patient's sudden rapid deterioration necessitating surgical intervention. Our experience suggests that the clinical improvement in this patient was primarily because of the relief of her suppurative tamponade together with the debridement,1972
2. Right-sided bacterial endocarditis;Arbulu, A.; Kafi, A.; Thomas, N.W.; Wilson, R.F.;Annals of Thoracic Surgery,1973
3. Valvulectomy without prosthetic replacement;Arbulu, A.; Thomas, N.W.; Wilson, R.F.;Journal of Thoracic and Cardiovascular Surgery,1972
4. Infective endocarditis in drug addicts;Curtis, J.; Richman, B.L.; Feinstein, M.A.;Southern Medical J'ournal,1974
5. Experience with surgical management of primary infective endocarditis. A collected review of 139 patients;Manhas, D.R.; Mohri, H.; Hessel, E.A.; Merendino, K.A.;American Heart Journal,1972