case_images: PMC7396047_01
case_images: Fistulography of chronic draining sinus.
case_images: CRIS2020-2371423.001.jpg
case_images: PMC7396047_01_CRIS2020-2371423.001.jpg
case_images: fig1
case_images: Fistulography revealed a cavity related to superficial layers of the thoracic wall (Figure 1).
case_images: Thoracic computer tomography in (a) sagittal plane showing Edwards SAPIEN 3 prosthesis in aortic position and parafistulous soft tissue infiltration, (b) sagittal plane demonstrating para-apical collection and Teflon pledgets, and (c) sagittal plane presenting the "hourglass"-shape fistulous canal.
case_images: CRIS2020-2371423.002.jpg
case_images: PMC7396047_01_CRIS2020-2371423.002.jpg
case_images: fig2
case_images: Thoracic computer tomography (CT) showed an oblique "hourglass"-shape fistula connecting the heart's apex and chest wall, a small apical collection (13 mm) with adjacent inflammatory infiltration involving pledget sutures (Figure 2).
case_images: Chronic draining sinus.
case_images: CRIS2020-2371423.003.jpg
case_images: PMC7396047_01_CRIS2020-2371423.003.jpg
case_images: fig3
case_images: During surgery, the fistulous canal was marked with blue stains to prevent its opening and contamination of healthy tissues (Figure 3).