Key result
A 59-year-old male developed a non-infectious left ventricular outflow tract to left atrial fistula 5 years after undergoing a commando procedure for radiation-induced heart disease.
Why the study?
Reports of long-term outcomes other than prosthetic valve endocarditis following the commando procedure are limited.
Case Report (n=1)
A non-infectious left ventricular outflow tract to left atrial fistula is a rare, late complication of the commando procedure.
Answers are grounded in this paper and cite their sources.
Highlights potential late non-infectious fistula after commando procedure; leaves open incidence and surveillance needs in radiation heart disease.
The commando procedure involves aortic and mitral valve replacement with complete reconstruction of the aorto-mitral curtain. It is often a surgical treatment for invasive infective endocarditis with abscess, or less commonly for radiation-induced heart disease with extensive calcification extending from the aortic valve onto the anterior mitral leaflet. Prosthetic valve endocarditis is a known long-term complication of this surgery; however, reports of other long-term outcomes are limited. We report the case of a 59-year-old male who developed a non-infectious left ventricular outflow tract to left atrial fistula, incidentally found 5 years after undergoing a commando procedure for radiation-induced heart disease.
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Marshall et al. (2021) conducted a case report in Left ventricular outflow tract to left atrial fistula (n=1). Commando procedure was evaluated on Development of left ventricular outflow tract to left atrial fistula. A 59-year-old male developed a non-infectious left ventricular outflow tract to left atrial fistula 5 years after undergoing a commando procedure for radiation-induced heart disease.
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