Lombardo J A, O'Rourke M F, Shanahan M X, Harkness J L
Aust N Z J Med. 1980 Aug;10(4):432-4. doi: 10.1111/j.1445-5994.1980.tb04096.x.
Following aortic valve replacement with a porcine xenograph, a patient developed endocarditis complicated by a fistula between aorta and right ventricle. The xenograph was replaced by a mechanical valve and the fisutla oversewn. No organisms were cultured but acid-fast bacilli were seen in the aortic wall and excised valve tissue. It is likely that these were contaminants of the porcine prosthesis.