Infective endocarditis is a serious disease with a signifi cant effect on morbidity and mortality. Patients with bicuspid aortic valve are known to be more prone to infective endocarditis.
An abscess in aortomitral continuity with intracardiac fi stula is a very rare and serious complication of infective endocarditis. We describe the case of a 47-year-old man with infective endocarditis complicated by an abscess and intracardiac fi stula presenting with dyspnea and development of heart failure with a need for an urgent surgical solution.