[HSF] Endocarditis with splenic infarct

[Hgrmd at aol.com]

Dear Nand,
  Though it sounds scary, repairing a mitral valve in the face of  active 
endocarditis is safe with a low likelihood of recurrence in my  experience.  
After doing the radical debridement, I then hand off the  instruments used to 
resect the infected tissue.  Next, I paint the resected  area with Betadine.  
Finally, I reconstruct as per usual.  This policy  works quite well if the 
infection is relatively confined.
Hal



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