We report a case of intravenous drug use-associated tricuspid valve
endocarditis in a 28-year-old pregnant female at 26-weeks gestation.
Despite appropriate intravenous antibiotics, the patient developed
life-threatening complications and underwent planned cesarean delivery
at 28 weeks 6 days gestation followed by interval tricuspid valve
replacement one week later. Both the patient and her infant were
successfully managed through the perioperative period.