Key result
Emergency Commando procedure with single bovine pericardial patch successfully treats extensive aorto-mitral infective endocarditis.
Why the study?
Invasive double-valve infective endocarditis requiring aorto-mitral curtain reconstruction is rare and technically demanding, though radical surgical intervention is essential.
Case Report (n=1)
No
A single-patch Commando technique can be effective for radical debridement and anatomic reconstruction in extensive infective endocarditis involving the aorto-mitral curtain.
Demonstrates technical success of aorto-mitral reconstruction in double-valve IE with shock; hypothesis-generating and requires validation in larger cohorts.
Background:Invasive double-valve infective endocarditis (IE) requiring aorto–mitral curtain reconstruction is rare and technically demanding. Meanwhile, radical surgical interventions are essential for controlling infection and restoring structural integrity.Case:We report the case of a 77-year-old woman with pyogenic spondylitis who developed high fever and cardiogenic shock due to IE involving the aortic and mitral valves. Transesophageal echocardiography confirmed extensive infection extending to the aorto–mitral curtain. Emergency Commando surgery using a single bovine pericardial patch was performed, reconstructing the aorto–mitral curtain. The postoperative course was uneventful, and no recurrence of infection was observed at the 1-year follow-up.Conclusions:This case highlights the effectiveness of radical debridement and anatomic reconstruction using a single-patch Commando technique in extensive infective endocarditis involving the aorto–mitral curtain.
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Kitashima et al. (2026) conducted a case report in Extensive aorto-mitral infective endocarditis (n=1). Single-patch Commando procedure using a bovine pericardial patch was evaluated on Survival and recurrence of infection at 1-year follow-up. Emergency Commando surgery using a single bovine pericardial patch successfully treated extensive aorto-mitral infective endocarditis, with no recurrence of infection at the 1-year follow-up.
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