Introduction
Infective endocarditis (IE) requires expeditious management to prevent serious morbidity [1]. Cardiac surgery is associated with high risk of adverse outcomes in pregnancy [2]. IE during pregnancy is exceedingly rare and dangerous. Optimal management is not well described [3, 4]. We report a patient with right-sided endocarditis at the end of her 2nd trimester and underwent successful cesarean delivery followed by tricuspid valve replacement (TVR).