Mechanical Aortic Valve On in Medicine / Internal Medicine — 54yo Man | Cardiology | SMLE Q#16752
SMLE Question #16752
Medicine / Internal Medicine
Cardiology
Objective: OBJ-163
Last updated: February 2026
A 54-year-old man with a mechanical aortic valve on warfarin is scheduled for an elective open inguinal hernia repair. He has no fever, chills, or signs of infection and has excellent exercise tolerance. The operation is clean and will not enter oral, respiratory, gastrointestinal, or genitourinary mucosa, and there is no skin infection at the surgical site. What is the best approach to infective endocarditis prophylaxis?
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