Introduction
Infective endocarditis (IE) remains a devastating disease with high
morbimortality rates.1,2 Hazardous decisions are often
necessary, underscoring the challenging management of these
patients.1,2,3
We report a case of a 67-year-old male patient with recurrent prosthetic
valve IE (PVIE), with massive local tissue damage, making surgery
unfeasible. Although rarely performed in this setting, heart transplant
(HT) was the only possibility, as a salvage strategy.