Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 47 2 2009 04 15 157 158 EN Younes Nozari Department of Cardiology, Imam Khomeini Hospital Complex Medical Center, Tehran University of Medical Sciences, Tehran, Iran. Nehzat Akiash Department of Cardiology, Imam Khomeini Hospital Complex Medical Center, Tehran University of Medical Sciences, Tehran, Iran. 2015 09 28 A 46 year old man had been undergone Aortic valve replacement (AVR) due to mechanical aortic valve endocarditis two month ago. He was referred to Imam Khomeini hospital because of dyspnea since two weeks ago. Echocardiography showed the false aneurysm, with an area of flow beyond the lumen of the aorta. This patient underwent reoperation, the previously implanted aortic valve was removed, meticulous debridement was performed in aortic valve annulus and adjacent part of the ascending aorta, and aortic valve and root replacement were performed. https://acta.tums.ac.ir/index.php/acta/article/view/3565 https://acta.tums.ac.ir/index.php/acta/article/download/3565/3541