| Summary points: | A 36-year-old Caucasian woman at the 32nd week of gestation presents with a few days history of asthenia and pharyngodynia without fever. Medical history, physical examination, laboratory data, image findings revealing a huge mass on the mitral valve, percutaneous embolectomy, surgery, and postoperative outcomes are described. The authors discuss infective endocarditis during a pregnancy and emphasise the difficulties in selecting the appropriate management strategy, particularly optimal time and mode of delivery and optimal time and type of valve surgery. |