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Essen—Commando: How we do it
Author(s) -
Zubarevich Alina,
Zhigalov Konstantin,
Osswald Anja,
Arjomandi Rad Arian,
Vardanyan Robert,
Wendt Daniel,
Sá Michel Pompeu B. O.,
Schmack Bastian,
Ruhparwar Arjang,
Weymann Alexander
Publication year - 2021
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.15140
Subject(s) - medicine , surgery , infective endocarditis , calcification , endocarditis , mitral valve , aortic root , aortic valve , cardiology , aorta
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.