Honestly, I do not much about the state of medicine and surgery in Ethiopia. I am not personally aware of any heart surgery centers there, and thus would not recommend surgery in your homeland. The risk of
endocarditisEndocarditis
Infectious endocarditis
Infective endocarditis around the time of surgery is linked closely to the level of expertise of the surgical team. If you need repeat surgery, I would suggest having it done in Germany.