ABSTRACT We aim to present an 80-year old male who has a history of Ozaki’s procedure and presented with 2 weeks of diarrhea and fever. The patient was screened for gastrointestinal diseases and in conclusion he was diagnosed with infective endocarditis according to modified Duke criteria. The patient was started on appropriate intravenous antibiotics. Prolonged diarrhea could be a presenting symptom and should be further evaluated. Reconstructive cardiac valve surgery techniques which are used in the management of IE may be the cause of IE.