Modified commando procedure in complicated infective endocarditis ─ a case series

Abstract Background Complicated infective endocarditis (IE) with perivalvular abscess and destruction of intervalvular fibrous body (IFB) has high mortality risk and requires emergent or urgent surgery mostly. Case presentation We presented four patients with complicated infective endocarditis combi...

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Main Authors: Posung Chen, Chungyi Chang, Yicheng Chuang, Ichen Chen, Tingchao Lin
Format: Article
Language:English
Published: BMC 2021-04-01
Series:Journal of Cardiothoracic Surgery
Subjects:
Online Access:https://doi.org/10.1186/s13019-021-01480-4
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author Posung Chen
Chungyi Chang
Yicheng Chuang
Ichen Chen
Tingchao Lin
author_facet Posung Chen
Chungyi Chang
Yicheng Chuang
Ichen Chen
Tingchao Lin
author_sort Posung Chen
collection DOAJ
description Abstract Background Complicated infective endocarditis (IE) with perivalvular abscess and destruction of intervalvular fibrous body (IFB) has high mortality risk and requires emergent or urgent surgery mostly. Case presentation We presented four patients with complicated infective endocarditis combined with perivalvular abscess and IFB destruction. Three patients had prosthetic valve endocarditis and one patient had native valve endocarditis. They all received modified Commando procedure successfully. No surgical mortality or re-exploration for bleeding. Conclusions We suggest that modified Commando procedure may have some benefit in improving survival rate of patients with complicated IE and reducing complications.
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spelling doaj.art-e553ebc0842c447ab2b433a0957081a92022-12-21T21:30:01ZengBMCJournal of Cardiothoracic Surgery1749-80902021-04-011611510.1186/s13019-021-01480-4Modified commando procedure in complicated infective endocarditis ─ a case seriesPosung Chen0Chungyi Chang1Yicheng Chuang2Ichen Chen3Tingchao Lin4Division of Cardiovascular Surgery, Heart Center, Cheng Hsin General HospitalDivision of Cardiovascular Surgery, Heart Center, Cheng Hsin General HospitalDivision of Cardiovascular Surgery, Heart Center, Cheng Hsin General HospitalDivision of Cardiovascular Surgery, Heart Center, Cheng Hsin General HospitalDivision of Cardiovascular Surgery, Heart Center, Cheng Hsin General HospitalAbstract Background Complicated infective endocarditis (IE) with perivalvular abscess and destruction of intervalvular fibrous body (IFB) has high mortality risk and requires emergent or urgent surgery mostly. Case presentation We presented four patients with complicated infective endocarditis combined with perivalvular abscess and IFB destruction. Three patients had prosthetic valve endocarditis and one patient had native valve endocarditis. They all received modified Commando procedure successfully. No surgical mortality or re-exploration for bleeding. Conclusions We suggest that modified Commando procedure may have some benefit in improving survival rate of patients with complicated IE and reducing complications.https://doi.org/10.1186/s13019-021-01480-4Infective endocarditisIntervalvular fibrous bodyProsthetic valve endocarditisValvular heart diseaseSurgical reconstruction
spellingShingle Posung Chen
Chungyi Chang
Yicheng Chuang
Ichen Chen
Tingchao Lin
Modified commando procedure in complicated infective endocarditis ─ a case series
Journal of Cardiothoracic Surgery
Infective endocarditis
Intervalvular fibrous body
Prosthetic valve endocarditis
Valvular heart disease
Surgical reconstruction
title Modified commando procedure in complicated infective endocarditis ─ a case series
title_full Modified commando procedure in complicated infective endocarditis ─ a case series
title_fullStr Modified commando procedure in complicated infective endocarditis ─ a case series
title_full_unstemmed Modified commando procedure in complicated infective endocarditis ─ a case series
title_short Modified commando procedure in complicated infective endocarditis ─ a case series
title_sort modified commando procedure in complicated infective endocarditis ─ a case series
topic Infective endocarditis
Intervalvular fibrous body
Prosthetic valve endocarditis
Valvular heart disease
Surgical reconstruction
url https://doi.org/10.1186/s13019-021-01480-4
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AT ichenchen modifiedcommandoprocedureincomplicatedinfectiveendocarditisacaseseries
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