Table 2 Cardiac surgery in ICU patients with IE and neurologic complications
From: Management of neurological complications of infective endocarditis in ICU patients
Surgery possible if required | Surgery to be delayed or contraindicated |
|---|---|
Heart failure, uncontrolled infection, abscess, high embolic risk | Â |
Silent neurologic complications (CT scan, MRI) | Severe comorbidities |
Transient ischemic attack | Severe septic shock |
Stroke | Stroke and coma or extensive neurologic deficit |
Microbleeds or very small hemorrhagic lesions | Intracranial hemorrhage (other than microbleeds or very small hemorrhagic) |
Meningitis | Meningitis and coma (rare) |
Brain abscess | Brain abscess associated with intracranial hypertension |
Small ICMA | Very large or enlarging ICMA |