Tricuspid valve endocarditis is mainly found in intravenous drug abusers and with splenic infarction in obstetric and gynecologic practice is rare. We report the case of a 37-year old woman with tricuspid infective endocarditis and splenic infarction after an elective abortion. The infected tricuspid valve and infarcted spleen were removed at one-stage operation. Systemic circulation arterial embolism should be considered when treating patients with right-sided endocarditis and a history of obstetrical procedures.
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