Application of Commando and Hemi-Commando procedures in the reconstruction of intervalvular fibrous body
- VernacularTitle:Commando与Hemi-Commando术式在主动脉幕帘重建中的应用
- Author:
Weiteng WANG
1
,
2
;
Hongkun QING
2
,
3
;
Oudi CHEN
2
,
4
;
Lixi GAN
1
,
2
;
Fanyu CHEN
2
,
3
;
Xin LI
2
,
3
;
Xuhua JIAN
2
,
3
Author Information
1. Guangdong Provincial People&rsquo
2. s Hospital, Guangdong Academy of Medical Sciences, Guangdong Cardiovascular Institute, South Medical University, Guangzhou, 510010, P. R. China
3. Department of Cardiac Surgery, Guangdong Provincial People&rsquo
4. Department of Echocardiography, Guangdong Provincial People&rsquo
- Publication Type:Journal Article
- Keywords:
Commando procedure;
Hemi-Commando procedure;
intervalvular fibrous body reconstruction;
invasive endocarditis
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2024;31(07):991-999
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the short- and mid-term outcomes of patients undergoing reconstruction of intervalvular fibrous body (IVFB) via double valve replacement (Commando procedure) or aortic valve replacement and mitral valve repair (Hemi-Commando procedure). Methods The patients who underwent Commando or Hemi-Commando procedure between September 2014 and September 2022 in Guangdong Provincial People’s Hospital were collected. The perioperative and follow-up data were reviewed and analyzed for the assessment of short- and mid-term outcomes. Results Eleven patients received Commando procedure (a Commando group), including 4 males and 7 females with a median age of 61 (33, 68) years; 7 patients received Hemi-Commando procedure (a Hemi-Commando group), including 5 males and 2 females with a median age of 50 (36, 58) years. Two patients died in the postoperative 30 days (1 patient in the Commando group and 2 patients in the Hemi-commando group). Low cardiac output syndrome complicated with multiple organ dysfunction syndrome was the main cause of death. Fifteen patients were discharged and followed up for 13 (6, 42) months, with a survival rate of 100%. The rates of free from recurrent endocarditis or re-operation were both 100%. Conclusion Commando and Hemi-Commando procedures are effective strategies for IVFB reconstruction, and can achieve excellent mid-term outcomes if patients survive from the frailest period of early postoperative stage.
