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.