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As with SIRS, CARS is a complex immune response involving anti-inflammatory and immunosuppressive mechanisms that are able to restore homeostasis after injury and SIRS or, if unchecked leads to a state of profound immunosuppression, predisposing the individual to infections [52, 55]

Recurrent Prosthetic Pulmonary Valve Endocarditis in Repaired Tetralogy of Fallot

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