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This article discusses the long-term follow-up of a surgical procedure called the UFO-procedure, which is used to treat severe concomitant aortic and mitral valve endocarditis. The procedure involves the resection of the affected valves and the intervalvular fibrous body, followed by reconstruction using a double patch technique. The study analyzed data from 41 patients who underwent the UFO-procedure and found that the procedure was technically successful in all patients, although half of them died in the hospital due to sepsis and multi-organ failure. However, surviving patients reported a good quality of life. The article concludes that the UFO procedure can provide a meaningful perspective for patients with severe endocarditis, but classic risk scores do not accurately predict outcomes for this specific patient population. [Extracted from the article]