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June 1, 2026JACC Case ReportsOpen Access

Recurrent Prosthetic Valve Endocarditis With Aortomitral Curtain Destruction in an Elderly Patient

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Key result

Urgent Commando procedure and antibiotics successfully manage recurrent prosthetic valve endocarditis in one patient.

  • n=1

Why the study?

Recurrent prosthetic valve infective endocarditis in older adults can present atypically and progress rapidly, requiring complex management decisions.

Comparison

Urgent redo surgery plus 6 weeks of targeted antibiotic therapy

Design

Case report

Follow-up

6 weeks

Authors

TCTea-Terezija CvetkoUniversity Hospital DubravaJĆJasmina ĆatićGeneral CardiologyJKJelena KursarUniversity Hospital Dubrava

Discussion

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Implication

Supports considering Commando procedure in select elderly patients with destructive prosthetic endocarditis; hypothesis-generating from single case report.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A 69-year-old man with prior bioprosthetic aortic and mitral valve replacement presenting with recurrent prosthetic valve infective endocarditis.
I
Intervention
Urgent redo surgery (radical debridement, double valve replacement, and reconstruction of the aortomitral continuity - Commando procedure) plus 6 weeks of targeted antibiotic therapy.
O
Outcome
Successful treatment of endocarditis and surgical reconstruction.

Uncontrolled prosthetic valve endocarditis with aortomitral curtain destruction can be successfully managed with urgent multidisciplinary surgical intervention (Commando procedure) even in elderly patients.

Cite This Study

Cvetko et al. (2026) conducted a case report in Recurrent prosthetic valve infective endocarditis (n=1). Urgent redo surgery (Commando procedure) and targeted antibiotic therapy was evaluated. Urgent redo surgery (Commando procedure) and 6 weeks of antibiotics successfully managed recurrent prosthetic valve endocarditis with aortomitral curtain destruction in a 69-year-old man.

synapsesocial.com/papers/6aaa06945da1df3164844a77https://doi.org/10.1016/j.jaccas.2026.108370

Topics

Infective endocarditis
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Age-Dependent Profile of Left-Sided Infective Endocarditis2010 · 100 citations
  2. 2Recurrence of bacteremia and infective endocarditis according to bacterial species of index endocarditis episode2023 · 30 citations
  3. 3Clinical Presentation, Etiology, and Outcome of Infective Endocarditis in the 21st Century2009 · 2,398 citations
  4. 4Proposed Modifications to the Duke Criteria for the Diagnosis of Infective Endocarditis2000 · 4,061 citations
  5. 5Epidemiological and microbial trends of infective endocarditis in western Norway: a 7-year prospective observational study2024 · 12 citations