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Updated: Mar 7, 2026
Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
Emergency valve surgery for infective endocarditis complicated by acute intracranial hemorrhage: A case report
Takasumi Goto1, Toshihiro Ohata2, Takayuki Shijo2
1Department of Cardiovascular Surgery, Suita Tokushukai Hospital, Osaka, Japan; Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Introduction:
Optimal timing of surgical treatment for infective endocarditis (IE) complicated by intracranial hemorrhage remains controversial.
Presentation Of Case:
A 43-year-old man with IE received appropriate antibiotic therapy but had recurrence of cerebral infarction and intracranial hemorrhage (ICH). Emergency valve surgery was performed 2days after ICH onset because of heart failure and recurrence of cerebral complications. Postoperatively, he showed no neurologic symptoms; neuroimaging showed no enlargement of ICH.
Discussion:
Postoperative risk of neurologic deterioration may be relatively lower than previously thought in patients with IE who undergo surgery within 1 month after ICH onset.
Conclusions:
Emergency surgery in patients with ICH is justified in cases of multiple indications for such small ICH. Further evaluation regarding the risk of subsequent hemorrhage in patients with ICH who require emergency valve surgery is warranted.
