Timing of Surgery in Endocarditis Patient Presenting with Intracranial Haemorrhage, To Do or Not To Do?

Intracranial haemorrhage (ICH) is not uncommon as a complication of infective endocarditis (IE). However, the presence of intracranial haemorrhage would represent as a challenge to surgical intervention. Cardiac surgery intervention carries the potential risk of neurological deterioration perioperatively. Furthermore, the optimal timing of surgery Has been largly debated, and reports on operative outcomes for such cases are scarce.