Essen-Commando: How we do it.
Alina ZubarevichKonstantin ZhigalovAnja OsswaldArian Arjomandi RadRobert VardanyanDaniel WendtMichel Pompeu Barros Oliveira SáBastian SchmackArjang RuhparwarAlexander WeymannPublished in: Journal of cardiac surgery (2020)
In rare cases of extensive aortic root or mitral valve infective endocarditis (IE), severe calcification of the aortic and mitral valves, or double-valve procedures in patients with small aortic and mitral annuli, surgical reconstruction of the intervalvular fibrous body (IVFB) is required. A high mortality is generally associated with this procedure, and it is frequently avoided by surgeons due to a lack of experience. It is crucial to radically resect all tissues that are severely affected by IE to prevent recurrence in the patient. Our experience with the Commando procedure in patients with extensive double-valve IE involving the IVFB is presented in this article.
Keyphrases
- mitral valve
- aortic valve
- left ventricular
- aortic stenosis
- left atrial
- transcatheter aortic valve replacement
- aortic valve replacement
- transcatheter aortic valve implantation
- pulmonary artery
- aortic dissection
- minimally invasive
- gene expression
- cardiovascular events
- heart failure
- chronic kidney disease
- type diabetes
- early onset
- cardiovascular disease
- risk factors
- coronary artery disease
- coronary artery
- drug induced
- atrial fibrillation
- pulmonary hypertension