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Fifty-three patients suffered from native valve endocarditis, with underlying valvular lesions documented for 31 patients. Staphylococci and Streptococci spp. were responsible for 68% of infection, and 20% of blood and valve cultures were negative. Refractory congestive heart failure was the leading surgical indication in 86% of patients. The mean follow-up period was 44 months. The perioperative mortality rate was 6%. Actuarial survival rates were 88.5% at 1 year and 83% at 3 years. No early recurrence of infection was noted. Six patients (9%) needed reoperation. Satisfactory results confirm that early surgical management should be considered in patients with complicated infective endocarditis. <\/jats:p>","DOI":"10.1177\/096721099500300517","type":"journal-article","created":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T01:12:50Z","timestamp":1727140370000},"page":"529-535","source":"Crossref","is-referenced-by-count":0,"title":["Valve Replacement for Acute Left Heart Endocarditis"],"prefix":"10.1177","volume":"3","author":[{"given":"O.","family":"Detry","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, University Hospital of Li\u00e8ge, Centre Hospitalier Universitaire de Li\u00e8ge, Domaine Universitaire du Sart-Tilman, 4000 Li\u00e8ge, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. 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