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Infective endocarditis nightmare: A bold solution for a devastating scenario
  • +6
  • Inês Oliveira,
  • Daniel Seabra de Carvalho,
  • Ana Neto,
  • Nuno Ferreira,
  • Sandra Amorim,
  • Pinheiro Torres,
  • João Azevedo,
  • Paula Pinto,
  • Aurora Andrade
Inês Oliveira
Centro Hospitalar Tâmega e Sousa EPE
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Daniel Seabra de Carvalho
Centro Hospitalar Tamega e Sousa EPE
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Ana Neto
Centro Hospitalar Tamega e Sousa EPE
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Nuno Ferreira
Centro Hospitalar de Vila Nova de Gaia Espinho EPE
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Sandra Amorim
Centro Hospitalar de Sao Joao
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Pinheiro Torres
Centro Hospitalar de São João EPE
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João Azevedo
Centro Hospitalar Tâmega e Sousa EPE
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Paula Pinto
Centro Hospitalar Tâmega e Sousa EPE
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Aurora Andrade
Centro Hospitalar Tâmega e Sousa EPE
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Abstract

Infective endocarditis still has significant morbimortality, despite diagnostic and therapeutic improvements. We describe a case of a 67-year-old man with recurrent prosthetic aortic valve infective endocarditis complicated by massive local tissue damage, making valve replacement unfeasible. Although rarely performed in this setting, heart transplantation was a needed salvage strategy, highlighting the need to make bold decisions for complex clinical scenarios.