In some cases, treating the infected valve with antibiotics and repairing it can be sufficient for complete recovery. For this approach to be effective, the valve’s structure must remain largely intact, with no signs of calcification. Additionally, in cases where valve leakage is caused by enlargement of the heart, valve replacement is often preferred over repair.
There is also a risk of reinfection in previously treated heart valves, making the timing of surgery critically important. Performing surgery while the infection is still active can lead to infection of the new valve.
If the valve is successfully repaired, patients generally do not need long-term anticoagulant therapy after the procedure. Valve repair is often more advantageous than replacement, and is therefore preferred for suitable patients based on their individual condition. However, when repair is not possible, valve replacement becomes necessary.