Haytham Elgharably
This presentation details a redo Commando procedure converting biological to mechanical valves in a patient in his early 40s with end-stage renal disease. Three years after his initial Commando procedure with aortic and mitral bioprostheses,...
In the treatment of aortic valve disease, there is increasing recognition of the adverse impact of patient–prosthesis mismatch, which has been associated with early valve failure and poorer long-term outcomes....
This case presentation demonstrates a transcatheter aortic valve replacement (TAVR) explant with repair of focal invasion of the left fibrous trigone in the left ventricular outflow tract (LVOT). The patient...
A 44-year-old male with past medical history of mechanical aortic valve replacement presented with methicillin-sensitive Staphylococcus aureus (MSSA) bacteremia secondary to a dialysis fistula infection. He developed complete heart block,...
This video submission is from the 2025 CTSNet Instructional Video Competition. Watch all entries from the competition, including the winning videos. Mitral annular calcification (MAC) is a chronic degenerative process...
Bilateral lung transplantation after prior cut and sew MAZE presents a challenging technical scenario because severe calcifications within the left atrium and pulmonary veins make it difficult to safely clamp...
The patient is a seventy-eight-year-old male with a complex cardiac history, including a 3-vessel coronary artery bypass graft surgery (CABG), a Watchman device for atrial fibrillation, and a transcatheter mitral...
To simplify allograft implantation, especially in a case like this where the normal aortic root anatomy was disrupted by the infection and when debridement was carried down to the LVOT...
A sixty-two-year-old former smoker with chronic obstructive pulmonary disease presented to the authors’ institution with multiple recent embolic strokes and worsening heart failure symptoms. Careful diagnostic evaluation revealed a large...
The Patient A fifty-six-year-old woman with HIV had been undergoing workup at an outside institution for progressive shortness of breath when a CT scan was obtained to evaluate for...
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...
This video demonstrates a “hemi-commando” procedure in a 64-year-old female patient with aortic root abscess involving the intervalvular fibrosa. The hemi-commando procedure is a feasible treatment option for invasive double-valve...











