Endocarditis can cause serious damage to your heart. You may be referred to a cardiologist, a specialist in diseases of the heart and blood vessels, so your heart can be assessed more thoroughly.
You may need surgery to repair damage to the heart.
Surgery will usually be recommended if:
- your symptoms or test results suggest you have experienced heart failure, a serious condition where your heart's not pumping blood around your body efficiently
- you continue to have a high temperature (fever) despite treatment with antibiotics or antifungals
- your endocarditis is caused by particularly aggressive fungi or drug-resistant bacteria
- you experience 1 or more blood clots despite treatment with antibiotics or antifungals
- you have an artificial (prosthetic) heart valve
- the results of your echocardiogram suggest that a collection of pus (abscess) or an abnormal passageway (fistula) has developed inside your heart
The 3 main surgical procedures used to treat endocarditis are:
- repair of the damaged heart valve
- replacement of the damaged heart valves with prosthetic ones
- draining of any abscesses and repair of any fistulas that may have developed in the heart muscle