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
OBJECTIVE: Anterior mitral anular calcification, particularly in radiation heart disease, and previous valve replacement with destroyed intervalvular fibrosa are challenging for prosthesis sizing and placement. The Commando procedure with intervalvular fibrosa reconstruction permits double-valve replacement in these challenging conditions. We referenced outcomes after Commando procedures to standard double-valve replacements. METHODS: From January 2011 to January 2022, 129 Commando procedures and 1191 aortic and mitral double-valve replacements were performed at the Cleveland Clinic, excluding endocarditis...
April 2024: JTCVS open