Infective endocarditis is nowadays one of the main indications for
valvular surgery. When occurring in the right chambers of the heart, the
tricuspid valve is the most commonly affected. Although this disease is
usually present in injecting-drug abusers or patients with other
predisposing risk factors, the incidence of native pulmonary valve
infective endocarditis is the least frequent. This case report presents
a 51-year-old patient with no relevant medical history that was admitted
to our institution with sepsis. Further studies revealed a native
pulmonary valve infective endocarditis complicated with infra-annular
abscess and pulmonary septic embolisms. The following describes the
clinical presentation of the case, echocardiograms, the surgical
procedure, and the postoperative period. To date, few cases of native
pulmonary valve infective endocarditis with no previous risk factors
have been reported.