Presence of Endocarditis on the Patch in the Left Ventricular Outflow Tract Successful Treated with Daptomycin

We present a rare case of endocartitis on the patch in the left ventricular outflow, in a 42 year-old man patient that had undergone surgical correction of tetralogy of Fallot and definitive closure with Dacron patch of a ventricular septal defect and, after 21 years, aortic valve replacement with mechanical valve, for the presence of severe aortic regurgitation, Blood cultures demonstrated the presence of methicillin-resistant Staphylococcus aureus and transesophageal echocardiography demonstrated on the LV face of the previous Dacron patch the presence of pathological vegetation, with complete resolution after Daptomycin.