We present the case of an elderly patient with isolated native tricuspid valve endocarditis with no context of intravenous drug abuse. The patient presented with fever and dyspnea. Large vegetation located on the tricuspid valve was detected by transthoracique echocardiography. Group G streptococcus grew in two out of three blood cultures. The patient has no history of intracardiac catheters and we found no evidence of tumor. The patient was treated medically with satisfying clinical improvement.

The interest of this clinical case is to show that the diagnosis of right sided endocarditis in elderly can be missed especially if the context is not very evocative or clinical manifestations are not specific, the prognosis is excellent with a low hospital mortality rate; this benign condition is successfully treated medically. Surgery is only needed in minority patients.

Physiological changes in the cardiovascular system during pregnancy present unique problems to the parturient with underlying heart disease. Anesthetic management for cesarean delivery in parturient with subaortic stenosis and pulmonary hypertension is a challenging task. Both general and regional anesthesia has been used and both have significant risks. In this report we describe the anesthetic management of a parturient having calcified subaortic membrane with pulmonary hypertension requiring elective cesarean delivery under general anesthesia.