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Contemporary Experience With the Commando Procedure for Anterior Mitral Annular Calcification

  • May 16, 2024

Submitted by: Jason Trevis

Source: JTCVS
Source URL: https://www.jtcvsopen.org/article/S2666-2736(23)00369-8/fulltext

Keywords:

  • Congenital
Author(s): Mona Kakavand, Filip Stembal, Lin Chen, Rashed Mahboubi, Habib Layoun, Serge C. Harb, Fei Xiang, Haytham Elgharably, Edward G. Soltesz, Faisal G. Bakaeen, Kevin Hodges, Patrick R. Vargo, Jeevanantham Rajeswaran, Austin Firth, Eugene H. Blackstone, Marc Gillinov, Eric E. Roselli, Lars G. Svensson, Gösta B. Pettersson, Shinya Unai, Marijan Koprivanac, Douglas R. Johnston

In this article, the authors present their single center outcomes of the Commando procedure as a means to achieve double valve replacement in patients with radiation heart disease or previous valve replacement with destroyed intervalvular fibrosa. The authors looked to compare early and intermediate-term outcomes of the Commando procedure performed for noninfective pathologies against outcomes of patients undergoing double valve replacement. A total of 129 Commando procedures were performed at the Cleveland Clinic between 2011 and 2022, compared to 1,191 stand double valve replacement. Their findings showed comparable short-term outcomes, but intermediate-term survival was less favorable after the Commando procedure.

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  • Congenital - Acyanotic

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