Table 2

Proposed histological criteria for diagnosis of infective endocarditis

IE, infective endocarditis.
Reproduced from Lepidi et al10 with permission.
Major criteria
    Vegetation
    Active endocarditis, including inflammatory infiltrates with polymorphonuclear cells
    Microorganisms demonstrated in tissues by histology or immunohistology
Minor criteria
    Mononuclear cell infiltrate (macrophages and lymphocytes) of the valve
    Necrosis
    Neovascularisation
    Fibrosis
    Calcification
Definite IE:2 major or 1 major and 3 minor criteria
Possible IE:1 major and 2 minor criteria
Rejected IE:No major criterion