Multimodality Imaging of Gonococcal Pulmonary Valve Endocarditis

Pulmonary valve (PV) infective endocarditis (IE) is rare, accounting for less than 2% of IE cases, and is most commonly associated with intravenous drug use, congenital heart disease, or intracardiac devices.1,2 Right-sided disease presents unique diagnostic challenges, particularly when embolic complications predominate and standard imaging pathways are constrained. Neisseria gonorrhoeae endocarditis is also uncommon in the modern antibiotic era but may manifest with aggressive valvular destruction and systemic embolization.