Background: Instead of immediate diagnosis and effective antibiotic treatme
nt morbidity and mortality in infective endocarditis remains high. If the i
nfection cannot be controlled or the disease progresses irreversible destru
ction of cardiac structures results.
Surgical Therapy: In this case surgical therapy should be considered immedi
ately. The outcome of surgical repair is not depending on the implanted pro
sthesis, but solely on timing of the operation.