[Infective endocarditis]

Abstract

Streptococcus species has been most common causative micro-organism in infective endocarditis, but the rate of Staphylococcus species increased lately, particularly the increase of methicilline resistance Staphylococcus was issue. We advocate early surgical intervention in cases with infective endocarditis involved congestive heart failure, resistance of antibiotics and/or embolism. In mitral valve endocarditis, many surgeon have tried valve plasty, the result has been improved. In case with prosthetic valve endocarditis, particularly involved annular abscess, preoperative worse condition, the necessity of complicated surgical technique, and the recurrence of infection resulted in poor outcomes. We strongly advocate earlier surgical intervention and wish easy access and availability of homograft.