Key result
Modified Commando operation with stentless supra-annular AVR spares damaged annular structures in extensive endocarditis.
Why the study?
The Commando operation for extensive endocarditis is technically difficult and typically requires aortic root replacement for extensive aortic annular defects after radical debridement.
Case Report
A modified Commando operation using supra-annular implantation of a stentless bioprosthesis may spare damaged annular structures and render complex reconstructive surgery for extensive endocarditis technically less demanding.
May simplify extensive endocarditis repair; hypothesis-generating for durability and outcomes versus root replacement.
Operations necessitating intervalvular fibrous body reconstruction in patients with extensive endocarditis are referred to as "Commando operations," an indicator of the procedure's difficulty. Aortic root replacement is inevitable when performing the Commando operation for extensive aortic annular defect after radical debridement. We performed a modified Commando operation, in which supra-annular aortic valve replacement with the Solo Smart stentless bioprosthesis was employed instead of aortic root replacement. Supra-annular implantation can spare damaged annular structures. This modification is expected to render complex reconstructive surgery technically less demanding.
No takes yet. Share an insight, caveat, or question.
Uchida et al. (2019) conducted a case report in Extensive endocarditis. Modified Commando operation using Solo Smart stentless bioprosthesis was evaluated. A modified Commando operation using supra-annular aortic valve replacement with a Solo Smart stentless bioprosthesis was performed to spare damaged annular structures in extensive endocarditis.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: