Table 2.

Cardiac surgery in ICU patients with IE and neurologic complications

Surgery possible if required	Surgery to be delayed or contraindicated
Heart failure, uncontrolled infection, abscess, high embolic risk
Silent neurologic complications (CT scan, MRI)	Severe comorbidities
Transient ischemic attack	Severe septic shock
Stroke	Stroke and coma or extensive neurologic deficit
Microbleeds or very small hemorrhagic lesions	Intracranial hemorrhage (other than microbleeds or very small hemorrhagic)
Meningitis	Meningitis and coma (rare)
Brain abscess	Brain abscess associated with intracranial hypertension
Small ICMA	Very large or enlarging ICMA