Key result
Commando procedure simplifies double valve replacement by avoiding annular calcium and facilitating larger valve implantation.
Why the study?
In patients with prior mantle radiation and concurrent aortic and mitral valve disease, aorto-mitral curtain and annular calcification pose technical challenges, and descriptions of the Commando procedure specifically for calcific valve disease are needed.
Case Report
The Commando procedure provides a surgical technique for double valve replacement in patients with radiation-induced calcific valve disease, facilitating the implantation of larger valves without placing annular sutures through calcium.
May aid complex valve implantation in calcific disease; leaves open comparative outcomes and durability.
Patients with a history of mantle radiation are prone to developing calcific valve disease. In patients with concurrent aortic and mitral valve disease, calcification at the aorto-mitral curtain and mitral annulus can pose technical challenges for double valve replacement. The Commando procedure offers a simplified method to avoid placing annular suture through calcium and facilitates implantation of larger valves. Although prior publications1 by the Cleveland Clinic describe surgical technique in the setting of endocarditis, in this report we outline a technique specifically to address calcific valve disease.
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Perri et al. (2022) conducted a case report in Calcific valve disease. Commando procedure was evaluated. The Commando procedure offers a simplified surgical technique to avoid placing annular sutures through calcium and facilitates larger valve implantation in patients with calcific valve disease.
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