Surgery is recommended for endocarditis complicated by annular abscess or destruction of the native valve. Guidelines also recommend valvular repair over replacement for endocarditis when feasible. Guidance on management of early repair failure is not well described.JACC Editor-in-ChiefJulia Grapsa, MD, PhD, FACCCME EditorNadeen N. Faza, MD, FACCAuthorLaura A. Weber, MDImportant DatesDate of Release: May 19, 2021Term of Approval/Date of CME/MOC/ECME Expiration: May 18, 2022