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Abstract:
The Commando operation reconstructs the aorto-mitral intervalvular fibrous body to facilitate aortic and mitral valve replacement in cases of advanced endocarditis or severe dystrophic intervalvular calcification. Here we present a case of severe prosthetic valve endocarditis with destruction of the intervalvular fibrous body in patient with prior transcatheter aortic valve replacement, and demonstrate the technique for TAVR explant and Commando operation.
Glossary of Abbreviations:
TAVR (Transcatheter aortic valve replacement), PVE (prosthetic valve endocarditis), SAVR (surgical aortic valve replacement)Article info
Publication history
Accepted:
December 8,
2022
Received:
September 14,
2022
Publication stage
In Press Journal Pre-ProofFootnotes
The authors have no conflicts of interest to disclose.
No external funding was sought or received to support this manuscript.
Central Message
The Commando procedure is useful in surgical management of complex double valve endocarditis involving a TAVR prosthesis.
Central Picture Legend: Double patch technique for reconstruction of aorto-mitral intervalvular fibrous body.
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Copyright
© 2023 The Authors. Published by Elsevier Inc. on behalf of The American Association for Thoracic Surgery
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