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Updated: Jan 14, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
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Aortic Prosthesis Endocarditis With Aorto-Mitral Fibrosa Abscess and Left Atrial Fistula: Commando Procedure as a
Alessandra Sala1, Andrea Daprati1, Francesco Grimaldi1
1Department of Cardiac Surgery, IRCCS Policlinico San Donato, Milan, Italy.
Complicated infective endocarditis (IE) involving the aorto-mitral fibrosa is rare but serious. The Commando procedure, though complex, offers a radical solution for this challenging cardiac condition.
Area of Science:
- Cardiovascular Surgery
- Infectious Diseases
Background:
- Complicated infective endocarditis (IE) involving the aorto-mitral curtain presents significant morbidity and mortality.
- Reconstruction of the aorto-mitral fibrosa during double-valve surgery is a rare and complex procedure.
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