Infective Endocarditis

Question 1

What are the indications for surgery in infective endocarditis?

Answer 1

1. Heart failure - refractory pulmonary oedema
2. Uncontrolled infection
3. Prevention of embolization - >10 mm vegetation with previous embolization
4. Neurological complications
5. Prosthetic valve endocarditis

Question 2

Which type of prosthetic valves have higher risk of endocarditis?

Answer 2

Bioprosthetic valves

Question 3

ASD, in which occations is it recommended to give antibiotic prophylaxis?

Answer 3

1. Previous IE
2. For 6 months after surgical or percutaneous closure, when a relevant procedure likely to cause bacteremia from a susceptible organism