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Journal of Cardiothoracic Surgery

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Open Access 01-12-2021 | Aortic Valve Replacement | Case report

Modified commando procedure in complicated infective endocarditis ─ a case series

Authors: Posung Chen, Chungyi Chang, Yicheng Chuang, Ichen Chen, Tingchao Lin

Published in: Journal of Cardiothoracic Surgery | Issue 1/2021

Abstract

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.

David TE, Kuo J, Armstrong S. Aortic and mitral valve replacement with reconstruction of the intervalvular fibrous body. J Thorac Cardiovasc Surg. 1997;114(5):766–71. https://doi.org/10.1016/S0022-5223(97)70080-1.CrossRefPubMed

Davierwala PM, Binner C, Subramanian S, Luehr M, Pfannmueller B, Etz C, et al. Double valve replacement and reconstruction of the intervalvular fibrous body in patients with active infective endocarditis. Eur J Cardiothorac Surg. 2014;45(1):146–52. https://doi.org/10.1093/ejcts/ezt226.CrossRefPubMed

Forteza A, Centeno J, Ospina V, Lunar IG, Sánchez V, Pérez E, et al. Outcomes in aortic and mitral valve replacement with intervalvular fibrous body reconstruction. Ann Thorac Surg. 2015;99(3):838–45. https://doi.org/10.1016/j.athoracsur.2014.09.052.CrossRefPubMed

Nakamura K, Hashimoto K, Sakamoto Y, Bando K, Yoshitake M, Matsumura Y, et al. Safe use of Glutaraldehyde to repair the destroyed valve in active infective mitral valve endocarditis. Circ J. 2018;82(10):2530–4. https://doi.org/10.1253/circj.CJ-17-1433.CrossRefPubMed

Sabik JF, Lytle BW, Blackstone EH, Marullo AGM, Pettersson GB, Cosgrove DM. Aortic root replacement with cryopreserved allograft for prosthetic valve endocarditis. Ann Thorac Surg. 2002;74(3):650–9. https://doi.org/10.1016/S0003-4975(02)03779-7.CrossRefPubMed

Yankah AC, Pasic M, Klose H, Siniawski H, Weng Y, Hetzer R. Homograft reconstruction of the aortic root for endocarditis with periannular abscess: a 17-year study. Eur J Cardiothorac Surg. 2005;28(1):69–75. https://doi.org/10.1016/j.ejcts.2005.03.017.CrossRefPubMed

Moon MR, Miller DC, Moore KA, Oyer PE, Mitchell RS, Robbins RC, et al. Treatment of endocarditis with valve replacement: the question of tissue versus mechanical prosthesis. Ann Thorac Surg. 2001;71(4):1164–71. https://doi.org/10.1016/S0003-4975(00)02665-5.CrossRefPubMed

Title: Modified commando procedure in complicated infective endocarditis ─ a case series
Authors: Posung Chen
Chungyi Chang
Yicheng Chuang
Ichen Chen
Tingchao Lin
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Aortic Valve Replacement
Mitral Valve Replacement
Valvular Heart Disease
Endocarditis
Aortic Valve Replacement
Mitral Valve Replacement
Aortic Valve Replacement
Mitral Valve Replacement
Published in: Journal of Cardiothoracic Surgery / Issue 1/2021
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-021-01480-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Modified commando procedure in complicated infective endocarditis ─ a case series

Abstract

Background

Case presentation

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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