Essen-Commando: How we do it.

J Card Surg

Department of Thoracic and Cardiovascular Surgery, West German Heart and Vascular Center, University of Duisburg-Essen, Essen, Germany.

Published: January 2021

AI Article Synopsis

  • In rare cases of extensive infective endocarditis affecting the aortic and mitral valves, surgical reconstruction of the intervalvular fibrous body may be necessary.
  • This procedure has high mortality rates and is often avoided by surgeons due to limited experience.
  • The article discusses the authors' experience with the Commando procedure for patients with extensive double-valve infective endocarditis involving the intervalvular fibrous body.

Article Abstract

In rare cases of extensive aortic root or mitral valve infective endocarditis (IE), severe calcification of the aortic and mitral valves, or double-valve procedures in patients with small aortic and mitral annuli, surgical reconstruction of the intervalvular fibrous body (IVFB) is required. A high mortality is generally associated with this procedure, and it is frequently avoided by surgeons due to a lack of experience. It is crucial to radically resect all tissues that are severely affected by IE to prevent recurrence in the patient. Our experience with the Commando procedure in patients with extensive double-valve IE involving the IVFB is presented in this article.

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Source
http://dx.doi.org/10.1111/jocs.15140DOI Listing

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