What are the recommendations for valve surgery in patients with stroke or subclinical cerebral emboli?
It is recommended that valve surgery may be performed in IE patients with stroke or sub-clinical cerebral emboli without delay if intracranial hemorrhage has been excluded by imaging studies and neurological damage is not severe (ie, coma). In patients with major ischemic stroke or intracranial hemorrhage, it is reasonable to delay valve surgery for at least 4 weeks.