Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Mouritane, S; Zirngast, B; Arnreiter, M; Laufer, G; Zimpfer, D.
The Commando procedure for mechanical double valve prosthesis endocarditis with destruction of the aortomitral continuity.
Multimed Man Cardiothorac Surg. 2024; 2024:
Doi: 10.1510/mmcts.2024.052
(- Case Report)
PubMed
FullText
FullText_MUG
- Führende Autor*innen der Med Uni Graz
- Mouritane Sami
- Zimpfer Daniel
- Co-Autor*innen der Med Uni Graz
- Arnreiter Melanie
- Laufer Günther
- Zirngast Birgit
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- Infective endocarditis, particularly after implanting valve prostheses, poses significant surgical challenges, often requiring complex interventions. We describe a case of a 37-year-old male with Staphylococcus aureus endocarditis, unsuccessfully treated with mechanical valve prostheses. Continued infection led to the destruction of the intervalvular fibrous body, necessitating a Commando procedure involving radical debridement and replacement of both aortic and mitral valves with complex patch reconstruction. Prosthesis selection remains contentious, considering recurrence risk and long-term prognosis. Our case underscores timely intervention and meticulous technique in managing such complex situations. It highlights successful strategies for treating infective endocarditis with destruction of aortomitral continuity, emphasizing the pivotal role of the Commando procedure.
- Find related publications in this database (using NLM MeSH Indexing)
- Humans - administration & dosage
- Male - administration & dosage
- Adult - administration & dosage
- Endocarditis, Bacterial - surgery, diagnosis, etiology
- Heart Valve Prosthesis - adverse effects
- Staphylococcal Infections - diagnosis, surgery, etiology
- Prosthesis-Related Infections - surgery, diagnosis, etiology
- Aortic Valve - surgery
- Heart Valve Prosthesis Implantation - methods, adverse effects
- Mitral Valve - surgery
- Staphylococcus aureus - isolation & purification
- Reoperation - administration & dosage
- Debridement - methods