Optimal Timing for Cardiac Surgery in Infective Endocarditis: Is Earlier Better?

  • François Delahaye
  • Anne-Marie Antchouey
  • Guy de Gevigney
Cardiovascular Infections (D Levine, Section Editor)

DOI: 10.1007/s11908-014-0411-3

Cite this article as:
Delahaye, F., Antchouey, AM. & de Gevigney, G. Curr Infect Dis Rep (2014) 16: 411. doi:10.1007/s11908-014-0411-3
Part of the following topical collections:
  1. Topical Collection on Cardiovascular Infections


All patients with infective endocarditis should be transferred to a hospital with cardiac surgery facilities. Once the decision to operate on a patient with infective endocarditis has been made, the timing of surgery is very often a difficult decision. Literature on this topic is very scarce. The European Society of Cardiology guidelines include recommendations on the timing of surgery. Heart failure, uncontrolled infection and prevention of embolic risk are the three main indications for surgery. Most often, when the decision to operate has been made, there is no benefit and potentially harm in delaying surgery. If cardiac surgery is indicated after an ischemic stroke, it should not be delayed. Discussion should be multidisciplinary and involve at least a cardiologist, a cardiac surgeon and an infectious diseases specialist, and any other specialist as needed (for example a neurologist).


Infective endocarditis Surgery 

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • François Delahaye
    • 1
    • 2
  • Anne-Marie Antchouey
    • 3
  • Guy de Gevigney
    • 4
  1. 1.Hopital Louis PradelBron CedexFrance
  2. 2.Hospices Civils de Lyon and Université Claude BernardLyonFrance
  3. 3.Département de CardiologieUniversité des Sciences de la SantéLibrevilleGabon
  4. 4.Hospices Civils de LyonLyonFrance

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