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Ann Thorac Surg 2007;83:2086
© 2007 The Society of Thoracic Surgeons
Division of Cardiothoracic Surgery, Jackson Memorial Hospital, University of Miami, 1611 NW 12th Ave, East Tower 3072 (R-114), Miami, FL 33136
(Email: tsalerno@med.miami.edu).
| The first 20% of the full text of this article appears below. |
Patients with chronic renal failure require vascular access for dialysis. This can be in the form of an indwelling catheter in the subclavian vein, internal jugular, or another central vein, or through an arteriovenous fistula or shunt. These patients are often immunocompromised due to uremia. As a result, they are at risk for bacteremia, infections, and endocarditis of one or multiple heart valves. The current study by Kamalakannan and colleagues [1] demonstrates that left-sided valves are most vulnerable to infection, as the observed incidence of mitral, aortic, and
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Ann. Thorac. Surg. 2007 83: 2081-2086.
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