We have recently read with great interest the article by Caputo RP. entitled “Case report: Use of percutaneous coronary revascularization to temporarily stabilize a patient with Streptococcus viridans bioprosthetic aortic valve endocarditis resulting in non-embolic left main coronary artery obstruction” . We appreciate the author for the management of the case report who developed a prosthetic valve endocarditis (PVE) with left main coronary artery occlusion. On the other hand, we believe that there are some major drawbacks that need to be addressed.