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Table 4 Indication and timing of surgery for preventing embolism in left-sided native valve infective endocarditis

From: Cardiac multidetector computed tomography in infective endocarditis: a pictorial essay

Indication

Timing

Aortic or mitral IE with a large vegetation (>10 mm) following one or more embolic episodes despite appropriate antibiotic therapy.

Urgent

Aortic or mitral IE with a large vegetation (>10 mm) and other predictors of subsequent complications (heart failure, persistent infection, abscess)

Urgent

Very large, isolated vegetations (>15 mm)

Urgent

  1. Modified from Habib et al. [1]