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Essen-Commando: How we do it.

Alina Zubarevich1, Konstantin Zhigalov1, Anja Osswald1

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Summary
This summary is machine-generated.

Surgical reconstruction of the intervalvular fibrous body (IVFB) is necessary for extensive double-valve infective endocarditis (IE). This article presents the Commando procedure for complex IE cases involving the IVFB.

Keywords:
Commando procedureIVFB reconstructionintervalvular fibrous bodyvalve surgery

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Area of Science:

  • Cardiovascular Surgery
  • Infective Endocarditis Research
  • Valvular Heart Disease

Background:

  • Extensive infective endocarditis (IE) of the aortic and mitral valves, severe calcification, or small annuli necessitate intervalvular fibrous body (IVFB) reconstruction.
  • The IVFB reconstruction procedure carries high mortality and is often avoided due to limited surgeon experience.
  • Radical resection of diseased tissue is essential for preventing IE recurrence.

Purpose of the Study:

  • To present the experience with the Commando procedure for extensive double-valve IE involving the IVFB.
  • To highlight the surgical approach for complex cases requiring IVFB reconstruction.

Main Methods:

  • Surgical reconstruction of the intervalvular fibrous body (IVFB).
  • Application of the Commando procedure in patients with extensive double-valve IE.
  • Radical resection of infected tissues.

Main Results:

  • The Commando procedure was utilized in patients with extensive double-valve IE involving the IVFB.
  • Experience with this complex surgical reconstruction is detailed.

Conclusions:

  • The Commando procedure is a viable option for extensive double-valve IE with IVFB involvement.
  • Further experience and dissemination of techniques are needed to address high mortality and surgeon hesitancy.