Valvular heart disease during pregnancy is a high-risk situation for both the parturient and fetus. Indeed, Cardiovascular changes can decompensate disease. The tolerance of depends on severity management in patient with significant cardiac involvement challenge requires multidisciplinary approach.

we report the case of a male patient with community‑acquired quadruple‑valve endocarditis on presumed normal native valves.this patient had originally presented elsewhere with generalized edema and malaise and had been diagnosed with suspicious endocarditis and renal dysfunction, for which he unfortunately received incomplete treatment. transthoracic and transesophageal echocardiographic ex...