en جراحی قلب Heart Surgery گزارش مورد Case Report <div style="text-align: justify;"><span style="font-family:Tahoma;"><span style="font-size:12px;"><span style="line-height:2;">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&#39;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.</span></span></span></div> Bypass Endocarditis, Cardiopulmonary, Cerebral Hemorrhage 84 86 http://jsurgery.bums.ac.ir/browse.php?a_code=A-10-168-10&slc_lang=en&sid=1 Ahmad Amouzeshi 100319475328460011096 100319475328460011096 No Department of Cardiology, School of Medicine, Cardiovascular Diseases Research Center,Birjand University of Medical Sciences, Birjand, Iran Mahmoud Ganjifard 100319475328460011097 100319475328460011097 No Department of Anesthesiology and Critical Care, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran Zahra Ansari Aval 100319475328460011098 100319475328460011098 No Congenital Heart Disease Research Center, Rajaie Cardiovascular Institute, Tehran, Iran Bibi Fatemeh Shakhs Emempour 100319475328460011099 100319475328460011099 No Department of Anesthesiology and Critical Care, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran Maryam Bahramian 100319475328460011100 0009-0002-6334-3839 No School of Medicine ,Birjand University of Medical Sciences, Birjand, Iran Mozhgan Bahramian 100319475328460011101 0009-0002-6334-3839 No School of Medicine ,Birjand University of Medical Sciences, Birjand, Iran Nafiseh Sadat Haerizadeh 100319475328460011102 100319475328460011102 No Department of Neurology, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran Seyyed Ebrahim Hosseini Zargaz setayesh0083@gmail.com 100319475328460011103 0009-0006-9048-3158 Yes Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran