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Updated: Jul 26, 2025
A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
The Commando procedure for pediatric patients: A case series
Hiroo Kinami1, David M Kalfa1, Andrew B Goldstone1
1Department of Cardiac Surgery, Morgan Stanley Children's Hospital, Columbia University Irving Medical Center, New York, NY.
Objective:
The Commando procedure involves division of the intervalvular fibrous body, mitral valve replacement, and aortic valve replacement. It is considered a technically challenging procedure and traditionally has had high mortality.
Methods:
Five pediatric patients with combined left ventricular inflow and outflow obstruction were included in this study.
Results:
There were no early or late deaths during follow-up, and no pacemakers were implanted. None of the patients required reoperation during follow-up, and none developed a clinically significant gradient across the mitral valve or aortic valve.
Conclusions:
The risks of this operation for patients with congenital heart disease undergoing multiple redo operations should be weighed against the benefits of normal-size mitral and aortic annular diameters and dramatically improved hemodynamics.
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