A 74-year-old man with a history of bioprosthetic aortic valve replacement presented with acute severe aortic insufficiency and cardiogenic shock secondary to Diphtheroides and Enterococcus endocarditis. The patient was deemed to be not a surgical candidate by the multidisciplinary team and underwent rescue transcatheter aortic valve-in-valve replacement, resulting in complete recovery. (Level of Difficulty: Advanced.).
Keywords: AS, aortic stenosis; IE, infective endocarditis; PVE, prosthetic valve endocarditis; prosthetic valve endocarditis; transcatheter aortic valve replacement; valve-in-valve.
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