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Published on: September 15, 2023
A Modified Approach to Bentall Plus Commando Surgery in Case of Extensive Cardiac Calcification
Naqibullah Nasar1, Qin Fu1, Heming Chen1
1Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.
Insights
This study shows a combined surgical approach for complex cardiac valve disease with extensive calcification. The modified Bentall and Commando procedures successfully treated severe valvular dysfunction and aortic issues.
Area of Science:
- Cardiovascular Surgery
- Cardiac Valve Repair
- Surgical Innovation
Background:
- Extensive cardiac calcification presents significant surgical challenges.
- Severe valvular dysfunction requires complex intervention.
- Aortic root and valve disease necessitate advanced surgical techniques.
Abstract:
This case highlights a modified Bentall combined with Commando procedure in a patient with extensive cardiac calcification. Preoperative imaging revealed severe valvular dysfunction, a low left coronary ostium, and heavy calcification of the intervalvular fibrous body. Given the patient's small, calcified annuli, reconstruction of the intervalvular fibrous body was required. Aortic annular enlargement was achieved with a patch, thus allowing implantation of a tilted aortic valve-conduit prosthesis. Dual incisions were used for optimal exposure. This case demonstrates the feasibility of combining Bentall and Commando procedures in complex valvular disease.
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