Keywords infective endocarditis, aortic aneurysm, aortic valve insufficiency, congenital heart defects, bicuspid aortic valve disease Abstract A 39-year-old patient presented to our Labor and Delivery unit with fever and nausea in the context of recent bacteriuria. She was found to be in sepsis due to an incidental bicuspid aortic valve (BAV) complicated by aortic valvular vegetations, severe aortic insufficiency, and aortic root abscess, requiring an emergent cesarean section.