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Table 83-4

High-Risk Cardiac Lesions for Which Endocarditis Prophylaxis Is Advised before Dental Procedures

Prosthetic heart valves

Prior endocarditis

Unrepaired cyanotic congenital heart disease, including palliative shunts or conduits

Completely repaired congenital heart defects during the 6 months after repair

Incompletely repaired congenital heart disease with residual defects adjacent to prosthetic material

Valvulopathy developing after cardiac transplantationa

a Not a target population for prophylaxis according to recommendations of the European Society for Cardiology.

Source: Wilson W et al: Prevention of infective endocarditis. Circulation 116:1736, 2007; Habib G et al: Guidelines on the prevention, diagnosis, and treatment of infective endocarditis. Eur Heart J 30:2369, 2009.