Other procedures include those respiratory tract procedures in which mucosa is incised, vaginal delivery in some high-risk patients (patients with prosthetic cardiac valve or prosthetic material used for cardiac valve repair and for patients with unrepaired and palliated cyanotic congenital heart disease), and gastrointestinal, genitourinary, or musculoskeletal procedures that involve an area with an established infection (see table Procedures Requiring Antimicrobial Endocarditis Prophylaxis).