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  1. Cardiac

Double Replacement With Reconstruction of the Aortomitral Fibrous Body for Invasive Valvular Endocarditis “Commando Procedure”

  • April 9, 2019

By: Jose Navia, Haytham Elgharably

Keywords:

  • Aorta Mitral Valve

This video demonstrates the technique of the “Commando procedure.” Reconstruction of the aortomitral fibrous body for invasive double valve endocarditis is a technically challenging operation. It includes aortic valve or root replacement and mitral valve replacement, along with reconstruction of the aortomitral fibrous body.


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6 Comments

  1. Mateo Marin-Cuartas says:
    April 10, 2019 at 6:30 pm

    Excellent! The procedure is also known as UFO Operation.

     Log in to Reply
  2. Leo Fitzgibbon says:
    April 11, 2019 at 7:49 pm

    Nice presentation, i have done this once. I t follows from the superior transeptal approach to the mitral valve. Many suture lines, long clamp times, and a long night for everybody involved….great job….

     Log in to Reply
  3. Raymond Lee says:
    April 29, 2019 at 2:45 pm

    Great video. I usually run the mitral sewing cuff to the bovine pericardial patch with a running prolene. Helps speed things up.

     Log in to Reply
  4. Anas Boulemden says:
    August 4, 2019 at 2:57 pm

    Thank you…excellent

     Log in to Reply
  5. Francesco Pelizzoni says:
    November 4, 2025 at 5:13 am

    Ist das Kommandoverfahren (1997) die einzig gangbare Option?
    Operation/Dekonstruktion und Rekonstruktion nach euklidischen Geometrien (Die Aortomitral-Länge ist grob umgekehrt proportional zum Aortomitralwinkel (AMA); AMA und Aortomitralvorhang (AMC)-Länge sind signifikant verändert).
    Biotechnik des Schuhmachers: mehr Patch-Material, um den Ein- und Ausfluss des ventrikulären fibrösen Körpers rekonstruieren zu können.
    Devolutive Herzmechanik .

     Log in to Reply
  6. Rômullo Santos says:
    August 1, 2026 at 2:31 pm

    Awesome! Great video.

     Log in to Reply

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Vimeo 8550 views on Vimeo

CITATION

Navia JL, Elgharably H. Double Replacement With Reconstruction of the Aortomitral Fibrous Body for Invasive Valvular Endocarditis "Commando Procedure". April 2019. doi:10.25373/ctsnet.7949123.
DOI https://doi.org/10.25373/ctsnet.7949123
TAGS
  • Aortic Valve
  • Endocarditis and Inflammatory Diseases
  • Valve Disease

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