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...
Main Authors: | , , , , |
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Format: | Article |
Language: | English |
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BMC
2021-04-01
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Series: | Journal of Cardiothoracic Surgery |
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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. |
first_indexed | 2024-12-17T22:39:08Z |
format | Article |
id | doaj.art-e553ebc0842c447ab2b433a0957081a9 |
institution | Directory Open Access Journal |
issn | 1749-8090 |
language | English |
last_indexed | 2024-12-17T22:39:08Z |
publishDate | 2021-04-01 |
publisher | BMC |
record_format | Article |
series | Journal of Cardiothoracic Surgery |
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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