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How do you approach mitral valve endocarditis associated with a large vegetation size and severe mitral regurgitation, but without any heart failure, hemodynamic instability or valve destruction?  

While the current guidelines favor early surgery (within 48 hrs of diagnosis) for this population based on the results of the EASE trial (link attached), some favor antibiotic therapy for a few weeks prior to surgery to increase the chances for mitral valve repair instead of valve replacement.

Kang et al., PMID 22738096



Answer from: at Community Practice
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Answer from: at Community Practice
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Answer from: at Community Practice
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at Mercy Health The Heart Institute Fairfield
This patient needs surgery ASAP before that bad bo...
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