Figure 1.

Macroscopic findings. (A) At the post-mortem inspection, a horizontal aortotomy was evident with prosthetic valve in situ after aorta was opened. (B) The coronary ostia are not visible. (C) A metal probe inserted into right coronary artery distally cut (insert in D), demonstrated the entrapment of the ostium in a stitch at the level of prosthetic annulus.