GuidelineCurrent
ESC 2023 — 2023 ESC Guidelines for the Management of Endocarditis
ESC, 2023
Urgent surgery is indicated in patients with native or prosthetic valve endocarditis presenting with acute severe regurgitation, heart failure, cardiogenic shock, uncontrolled infection (perivalvular abscess, false aneurysm), or high embolic risk with vegetations >10 mm (Class 1, LOE B).
Strong recommendationHigh certainty
View source guidelineClinical Context & Relevant Topics (2)
Disease ReferenceValvular Heart Disease & Infective Endocarditis in the ICU
Critical AS, acute AR/MR mechanics, prosthetic valve emergencies, and infective endocarditis with multidisciplinary surgical triggers.
View Topic Context →
Sepsis
Life-threatening organ dysfunction caused by a dysregulated host response to infection — recognized by an acute rise in SOFA score, not by infection plus fever alone.
View Topic Context →