PMC7396047_01
Fistulography of chronic draining sinus.
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Fistulography revealed a cavity related to superficial layers of the thoracic wall (Figure 1).
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.
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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).
Chronic draining sinus.
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During surgery, the fistulous canal was marked with blue stains to prevent its opening and contamination of healthy tissues (Figure 3).