Introduction
The proportional incidence of intravenous drug use (IVDU)-associated
infective endocarditis (IE) cases requiring surgery has increased
significantly, mirroring the national opioid crisis.1Relapse among patients with a history of IVDU is common and is the
leading cause of death.2 Here we present treating a
patient who relapsed post valve replacement presenting with severe TR
and stenosis, right-sided heart failure, and ventral septal defect
(VSD). As medical management failed, we offered the patient valvectomy
and Extracorporeal Membrane Oxygenation (ECMO) as a potential bridge to
definitive treatment with valve replacement.