Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Jan;36(1):286-289.
doi: 10.1111/jocs.15140. Epub 2020 Oct 21.

Essen-Commando: How we do it

Alina Zubarevich  1 , Konstantin Zhigalov  1 , Anja Osswald  1 , Arian Arjomandi Rad  2 , Robert Vardanyan  2 , Daniel Wendt  1 , Michel Pompeu B O Sá  3 , Bastian Schmack  1 , Arjang Ruhparwar  1 , Alexander Weymann  1
Affiliations

Essen-Commando: How we do it

Alina Zubarevich et al. J Card Surg. 2021 Jan.

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.

Keywords: Commando procedure; IVFB reconstruction; intervalvular fibrous body; valve surgery.

PubMed Disclaimer

Comment in

References

REFERENCES

    1. David TE, Kuo J, Armstrong S, Carpentier AF, Magotra RA. Aortic and mitral valve replacement with reconstruction of the intervalvular fibrous body. J Thorac Cardiovasc Surg. 1997;114(5):766-771.
    1. Forteza A, Centeno J, Ospina V, et al. Outcomes in aortic and mitral valve replacement with intervalvular fibrous body reconstruction. Ann Thorac Surg. 2015;99(3):838-845.
    1. De Oliveira NC, David TE, Armstrong S, Ivanov J. Aortic and mitral valve replacement with reconstruction of the intervalvular fibrous body: an analysis of clinical outcomes. J Thorac Cardiovasc Surg. 2005;129(2):286-290.
    1. Davierwala PM, Binner C, Subramanian S, et al. Double valve replacement and reconstruction of the intervalvular fibrous body in patients with active infective endocarditis. Eur J Cardiothoracic Surg. 2014;45(1):146-152.
    1. Manouguian S, Abu-Aishah N, Neitzel J. Patch enlargement of the aortic and mitral valve rings with aortic and mitral double valve replacement. Experimental study. J Thorac Cardiovasc Surg. 1979;78(3):394-401.

LinkOut - more resources