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Urgent Cardiac Surgery for Endocarditis and Intracranial Hemorrhage Causing Midline Cerebral Shift

Kenza Rahmouni1, Daniel Goubran1, David Messika-Zeitoun2

  • 1Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.

Annals of Thoracic Surgery Short Reports
|October 30, 2025
PubMed
Summary

Intracranial hemorrhage from infective endocarditis can be serious. Early cardiac surgery, despite guidelines, may be safe and effective in select cases, especially with heart failure or new emboli.

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Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
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