title: A rare case of prosthetic aortic valve endocarditis complicated with multiple fistula to peri aortic structure.
abstract: Multiple aorto-cardiac cavity communications is very rare but important complication of prosthetic aortic valve endocarditis. The case below illustrates multiple aorto-cardiac cavity fistula formation following prostethic aortic valve endocarditis presented with slowly progressive symptoms of heart failure. A brief review of surgical reconstruction and the existing literature are presented, including emphasis on pre and intra operative echocardiographic diagnosis and treatment.
authors.affiliation: 1. Department of Cardiovascular Surgery, Imam Ali Heart Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Feridoun
authors.initials: F
authors.lastname: Sabzi
authors.affiliation: 2. Yazd Cardiovascular Research Centre, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. r.faraji61@gmail.com.
authors.forename: Reza
authors.initials: R
authors.lastname: Faraji
keywords: Aortic valve endocarditis; Aorto-cardiac; Fistula