report of a supportive care case during cardiopulmonary bypass in a patient with a history of infective endocarditis causing multiple embolic cerebral infarctions with hemorrhagic transformation

The occurrence of cerebral embolic infarct following endocarditis is a complication that can lead to serious outcomes and mortality. the present case involves a patient with a history of intravenous drug use who developed multiple septic emboli and subsequent cerebral hemorrhage due to endocarditis. the patient was urgently scheduled for valve replacement surgery. considering the patient’s specific condition and history of hemorrhagic stroke, supportive measures during cardiopulmonary bypass were implemented without any specific complications, and the patient was discharged from the hospital after one week. performing valve replacement surgeries in patients with a previous history of hemorrhagic stroke can be dangerous due to complications arising from anticoagulation, inflammatory responses, and changes in cerebral perfusion flow, potentially leading to death. however, these complications can be effectively mitigated with a series of supportive measures during cardiopulmonary bypass.