Key result
The hemi-Commando operation offers a critical option for infection-free survival and recovery in patients with acute endocarditis and extensive aortomitral curtain destruction.
The hemi-Commando operation is a critical surgical option for patients with end-stage endocarditis and perivalvular extension involving the aortomitral curtain.
Commando operation feasible for complex aortomitral endocarditis; leaves open durability, generalizability, and optimal selection pending larger studies.
Extensive destruction of the aortomitral curtain, often resulting from abscess formation or aortic root pseudoaneurysm, represents one of the most severe complications of infective endocarditis. This warrants extensive debridement to eradicate infection and complex reconstruction to restore function.1,2 First described in the 1970s, the “Commando operation,” has become a critical option for patients with end-stage endocarditis and perivalvular extension. When executed well, this technically demanding operation offers the best chance of infection-free survival and recovery in otherwise-dire circumstances.
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Rheault-Henry et al. (2025) studied Acute endocarditis with extensive aortic and mitral valve destruction. Hemi-Commando operation was evaluated. The hemi-Commando operation offers a critical option for infection-free survival and recovery in patients with acute endocarditis and extensive aortomitral curtain destruction.