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Recurrent Aortic Prosthetic Valve Endocarditis: A Radical Additional Anatomical Solution Cecilia Marcacci, MD, Matteo Trezzi, MD, Gilles D. Dreyfus, MD, FRCS The Annals of Thoracic Surgery Volume 102, Issue 6, Pages e577-e579 (December 2016) DOI: 10.1016/j.athoracsur.2016.05.058 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A and B) Preoperative computed tomography scan. The yellow arrows indicate the aortoventricular fistulae. The Annals of Thoracic Surgery 2016 102, e577-e579DOI: (10.1016/j.athoracsur.2016.05.058) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Preoperative computed tomography scan. The red arrow indicates the periprosthetic hematoma. The Annals of Thoracic Surgery 2016 102, e577-e579DOI: (10.1016/j.athoracsur.2016.05.058) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Intraventricular Dacron graft insertion. (B) A second composite graft is anastomosed to the first one. The Annals of Thoracic Surgery 2016 102, e577-e579DOI: (10.1016/j.athoracsur.2016.05.058) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions