{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T15:27:24Z","timestamp":1785166044547,"version":"3.55.0"},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T00:00:00Z","timestamp":1753920000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Infective endocarditis (IE) is a multifaceted disease and its treatment can often be challenging. Furthermore, along with a rising incidence, the clinical manifestation of IE has changed over the years. This study analyses the interdisciplinary endocarditis team management of IE in a tertiary care hospital.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We reviewed the patients who were admitted for IE at our institution between January 2012 and December 2021. Risk estimation was performed by calculating the EuroSCORE II and the EndoSCORE.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 812 consecutive patients were admitted to our centre for IE. Among these patients, 249 patients (30.7%) underwent conservative treatment for IE (Group C) and 563 patients (69.3%) underwent surgery (Group S). The EuroSCORE II was 5.5 (2.6-10.1) in Group C and 5.1 (2.5-10.7) in group S, whereas the EndoSCORE was 7.6 (6.9-19.6) in Group C and 12.3 (6.9-19.5) in Group S. The Duke criteria were not met in 297 patients (36.6%) and patients not meeting the Duke criteria were more often treated conservatively. A higher number of patients suffering from TAVR-endocarditis and tricuspid valve endocarditis were treated conservatively. Whereas patients with aortic valve endocarditis were treated surgically more often.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Infective endocarditis is a multifaceted disease, which requires a specialized interdisciplinary approach. Decisions on treatment modalities should be made on a case-to-case basis in an endocarditis team setting. In addition to treatment modality, adequate consideration should be given to the pathogen causing IE and the extent of IE.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezaf259","type":"journal-article","created":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T11:40:24Z","timestamp":1753962024000},"source":"Crossref","is-referenced-by-count":1,"title":["The Role of Surgery in Contemporary Infective Endocarditis"],"prefix":"10.1093","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9903-3237","authenticated-orcid":false,"given":"Shekhar","family":"Saha","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Ludwig Maximillian University of Munich , Marchioninistrasse 15 , Munich 81377,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Zauner","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Ludwig Maximillian University of Munich , Marchioninistrasse 15 , Munich 81377,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Schnackenburg","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Ludwig Maximillian University of Munich , Marchioninistrasse 15 , Munich 81377,","place":["Germany"]},{"name":"German Centre for Cardiovascular Research (DZHK), Partner Site Munich Heart Alliance , Munich, Biedersteiner Str. 29 , Munich 80802,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5993-0339","authenticated-orcid":false,"given":"Konstantinos","family":"Rizas","sequence":"additional","affiliation":[{"name":"German Centre for Cardiovascular Research (DZHK), Partner Site Munich Heart Alliance , Munich, Biedersteiner Str. 29 , Munich 80802,","place":["Germany"]},{"name":"Department of Cardiology, Ludwig Maximillian University of Munich , Munich, Marchioninistrasse 15 , Munich 81377,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Orban","sequence":"additional","affiliation":[{"name":"German Centre for Cardiovascular Research (DZHK), Partner Site Munich Heart Alliance , Munich, Biedersteiner Str. 29 , Munich 80802,","place":["Germany"]},{"name":"Department of Cardiology, Ludwig Maximillian University of Munich , Munich, Marchioninistrasse 15 , Munich 81377,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7387-3986","authenticated-orcid":false,"given":"Steffen","family":"Massberg","sequence":"additional","affiliation":[{"name":"German Centre for Cardiovascular Research (DZHK), Partner Site Munich Heart Alliance , Munich, Biedersteiner Str. 29 , Munich 80802,","place":["Germany"]},{"name":"Department of Cardiology, Ludwig Maximillian University of Munich , Munich, Marchioninistrasse 15 , Munich 81377,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Hagl","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Ludwig Maximillian University of Munich , Marchioninistrasse 15 , Munich 81377,","place":["Germany"]},{"name":"German Centre for Cardiovascular Research (DZHK), Partner Site Munich Heart Alliance , Munich, Biedersteiner Str. 29 , Munich 80802,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3995-8737","authenticated-orcid":false,"given":"Dominik","family":"Joskowiak","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Ludwig Maximillian University of Munich , Marchioninistrasse 15 , Munich 81377,","place":["Germany"]},{"name":"German Centre for Cardiovascular Research (DZHK), Partner Site Munich Heart Alliance , Munich, Biedersteiner Str. 29 , Munich 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