Key result
The Commando procedure (aortomitral fibrous body remodeling) was performed in a 12-year-old male with rheumatic heart disease to allow for adult-size mechanical double valve replacement.
Why the study?
When valve repair is not possible in pediatric patients with rheumatic heart disease, valve replacement is inevitable despite the risk of patient-prosthesis mismatch with growth.
Case Report (n=1)
The Commando procedure can be utilized in pediatric patients to allow for adult-sized mechanical double valve replacement, potentially preventing future reoperations due to patient-prosthesis mismatch.
May enable adult-sized valves in select pediatric rheumatic cases; hypothesis-generating for durability and broader use.
Rheumatic heart disease is still an important pathology affecting young people. When valve repair techniques are not possible, valve replacement is inevitable in pediatric patients despite the risk of patient prosthesis mismatch with the growing child. In this report, we present aortomitral fibrous body remodeling, Commando procedure, in a 12-year-old male patient with rheumatic aortic and mitral valve disease to provide adult size mechanical double valve replacement.
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Uğurlucan et al. (2021) conducted a case report in Rheumatic aortic and mitral valve disease (n=1). Commando procedure (aortomitral fibrous body remodeling) was evaluated. The Commando procedure (aortomitral fibrous body remodeling) was performed in a 12-year-old male with rheumatic heart disease to allow for adult-size mechanical double valve replacement.
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