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In the carnitine group, there were significant decreases in the improved NCT-B group (18 patients) in terms of serum ammonia level (91.9 35 g/dL vs

[Google Scholar] 37.Miura S, Jimbow K

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Three months later, patient presented with further recurrence of endocarditis with evidence of large vegetation involving posterior bioprosthetic valve annulus determining valve detachment, severe regurgitation and prosthesis rocking