6 The Infectious Disease Society of America has recommended a combination of medical and surgical interventions for these cases, yet there is an increasing trend favouring early surgical intervention due to the reduced risk of repeated embolic events while awaiting surgery. 6 , 7 Although PCI intervention is less invasive and has a shorter recovery time, it has the potential for microbial seeding of the stent, distal occlusion of coronary arteries by mobile emboli, and mycotic aneurysm development at the PCI balloon dilation site. 8 Surgical intervention provides an opportunity for removal of all vegetation and of the main burden of infection, allowing for successful antimicrobial treatment.
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