Discussion

Dr F. Sellke (Providence, RI). I would like to congratulate the authors on their presentation regarding the outcomes of patients undergoing surgery for infective endocarditis in the dialysis population. Endocarditis is an increasing clinical problem worldwide and especially in the United States, where the use of intravenous narcotics is becoming near epidemic. The dialysis population is another group of patients with an increasing incidence who are prone to infective endocarditis due to their diminished immune system function and the repeated instrumentation of their vasculature.

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