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- Title
Modified Commando procedure using a double valve composite through an aorto-annulo-septotomy.
- Authors
Matsuzaki, Kanji; Mitomi, Kisato; Imai, Akito; Sato, Masataka; Watanabe, Yasunori
- Abstract
Double valve replacement of aortic and mitral valves with intervalvular fibrous body reconstruction (Commando procedure) is a challenging operation. Particularly in redo surgery for prosthetic valve endocarditis, special techniques are needed for approaching and reconstructing the valve complex. We performed a modified Commando procedure using a double valve composite through an aorto-annulo-septotomy. This approach provided a good field of vision at the combined aortic and mitral annuli without incising the left atrial roof. The double valve composite with four-layer patch wings was useful for performing double valve replacement en bloc and aorto-annulo-septotomy closure serially. Using these techniques, we successfully performed the Commando procedure for complicated prosthetic valve endocarditis.
- Publication
Interdisciplinary Cardiovascular & Thoracic Surgery, 2024, Vol 38, Issue 1, p1
- ISSN
2753-670X
- Publication type
Article
- DOI
10.1093/icvts/ivad213