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Updated: Mar 9, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
How to Do It: The Commando Operation for Reconstruction of the Fibrous Skeleton with Double Valve Replacement
Brian Lima1, Themistokles Chamogeorgakis1, Juan C MacHannaford1
1Department of Cardiac and Thoracic Surgery, Baylor University Medical Center, Dallas, Texas, USA.
Abstract:
Infiltrative processes that extend into the intervalvular fibrosa, such as infection or calcification, often mandate a complex reconstructive procedure known as the Commando operation. First described less than 20 years ago, this operation is not widely implemented, with experience limited to a few select centers. This report provides a detailed summary of our approach to this intricate procedure.
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