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Modified commando procedure in complicated infective endocarditis ─ a case series
Posung Chen1,2, Chungyi Chang3, Yicheng Chuang3
1Division of Cardiovascular Surgery, Heart Center, Cheng Hsin General Hospital, Taipei, Taiwan. even.sinfonia@gmail.com.
Insights
Complicated infective endocarditis (IE) with perivalvular abscess and intervalvular fibrous body (IFB) destruction poses high mortality risks. A modified Commando procedure showed promise in improving survival rates and reducing complications in four patients.
Area of Science:
- Cardiac Surgery
- Infective Endocarditis Research
- Cardiovascular Pathology
Background:
- Complicated infective endocarditis (IE) involving perivalvular abscess and intervalvular fibrous body (IFB) destruction presents significant mortality risks.
- Such cases often necessitate emergent or urgent surgical intervention.
Background:
Complicated infective endocarditis (IE) with perivalvular abscess and destruction of intervalvular fibrous body (IFB) has high mortality risk and requires emergent or urgent surgery mostly.
Case Presentation:
We presented four patients with complicated infective endocarditis combined with perivalvular abscess and IFB destruction. Three patients had prosthetic valve endocarditis and one patient had native valve endocarditis. They all received modified Commando procedure successfully. No surgical mortality or re-exploration for bleeding.
Conclusions:
We suggest that modified Commando procedure may have some benefit in improving survival rate of patients with complicated IE and reducing complications.
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