Sharing of decision-making for infective endocarditis surgery: a narrative review of clinical and ethical implications.

ABSTRACT: Infective endocarditis (IE) is nowadays one of the most challenging disease in cardiac surgery because of its multifaceted clinical and anatomical presentation. Despite the many clinical and surgical advances achieved in the past 60 years, there is a lack of evidence regarding the ideal strategy. The present review aims to investigate and highlight two main novel concepts for the decision-making of the best substitute. Firstly, the concept of an "endocarditis team": a coordinated multidisciplinary effort in the diagnostic work-up, especially in conditions of high risk of embolization or clinical deterioration. A good "endocarditis team" has the role to overcome such problem, in order to ensure a prompt and balanced strategy. Secondly, which ethical considerations are required to drive the

SUBMITTER: Pollari F 

PROVIDER: S-EPMC7791252 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature