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. 2025 Sep 19:34:138-140.
doi: 10.1016/j.xjtc.2025.09.007. eCollection 2025 Dec.

Extended Commando procedure for left ventricular inflow and outflow tract obstruction

Viktoria Weixler  1 , Julia Gaal  1 , Bastien Provost  1 , Anne Dipchand  2 , Osami Honjo  1
Affiliations

Extended Commando procedure for left ventricular inflow and outflow tract obstruction

Viktoria Weixler et al. JTCVS Tech. .
No abstract available

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Conflict of interest statement

The authors reported no conflicts of interest. The Journal policy requires editors and reviewers to disclose conflicts of interest and to decline handling or reviewing manuscripts for which they may have a conflict of interest. The editors and reviewers of this article have no conflicts of interest.

Figures

None
Changes in mitral and aortic valve diameters. A, before Commando-Ross-Konno procedure. B, After Commando-Ross-Konno procedure.
Figure 1
Figure 1
Overview of the Commando-Ross-Konno procedure. A, The aorta was opened at the sinotubular junction and the coronary buttons and pulmonary autograft were harvested. The left atrium was opened through a transseptal approach, mechanical mitral valve (MV) was explanted, intervalvular fibrous body was divided, and pledgeted sutures were placed in the posterior MV annulus. B, New mechanical MV was implanted, posteriorly anchored to the native MV annulus and anteriorly to a bovine pericardium. The left atrium was closed with remaining patch and a Konno incision was performed. C, and D, Final result after implanting the pulmonary autograft, the coronary arteries, and the homograft in the pulmonary position.
See this image and copyright information in PMC

References

    1. Kinami H., Kalfa D.M., Goldstone A.B., Setton M.I., Ferris A.M., Bacha E.A. The commando procedure for pediatric patients: a case series. J Thorac Cardiovasc Surg Tech. 2023;19:104–108. doi: 10.1016/j.xjtc.2023.03.008. - DOI - PMC - PubMed
    1. Weixler V., Murin P., Samman B., et al. Subcoronary versus full-root ross procedure for the pediatric population: an early-to-midterm bicentric experience. Eur J Cardiothorac Surg. 2025;67(3) doi: 10.1093/ejcts/ezaf062. - DOI - PubMed
    1. Honjo O., Chetan D., Fan C.P.S., et al. Surgical melody mitral valve: a paradigm shift for infants with unrepairable mitral valve disease. Ann Thorac Surg. 2024;118(3):623–632. doi: 10.1016/j.athoracsur.2024.04.037. - DOI - PubMed
    1. Myers P.O., Mokashi S.A., Horgan E., et al. Outcomes after mechanical aortic valve replacement in children and young adults with congenital heart disease. J Thorac Cardiovasc Surg. 2019;157(1):329–340. doi: 10.1016/j.jtcvs.2018.08.077. - DOI - PubMed

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