Introduction:
A foreign body can enter the heart either directly through a penetrating trauma or through migration of a distal fragment from peripheral vessels; however All of this events are considered to be of very rare occurrence with possible complications to occurs include infective endocarditis, cardiac tamponade and pneumothorax(1,2). Infective endocarditis (IE) is a cardiac infection that affects the endothelium. It has an annual incidence of 3–10 per 100,000 people, with a fatality rate of up to 30% after 30 days. Because of the variety of causative microorganisms, underlying cardiac diseases, and pre-existing comorbidities, the clinical presentation of IE is exceedingly diverse. It can appear as an acute, subacute, or chronic condition (6).
Our case is considered to be the first case documented worldwide of a penetrating thorn in the heart that’s complicated with infective endocarditis for which it was first treated medically and then removed through cardiopulmonary bypass surgery.