The Commando procedure for pediatric patients: A case series.

Authors :: Kinami H
Kalfa DM
Goldstone AB
Setton MI
Ferris AM
Bacha EA
Source :: JTCVS techniques [JTCVS Tech] 2023 Mar 22; Vol. 19, pp. 104-108. Date of Electronic Publication: 2023 Mar 22 (Print Publication: 2023).
Publication Year :: 2023
Abstract: Objective: The Commando procedure involves division of the intervalvular fibrous body, mitral valve replacement, and aortic valve replacement. It is considered a technically challenging procedure and traditionally has had high mortality.<br />Methods: Five pediatric patients with combined left ventricular inflow and outflow obstruction were included in this study.<br />Results: There were no early or late deaths during follow-up, and no pacemakers were implanted. None of the patients required reoperation during follow-up, and none developed a clinically significant gradient across the mitral valve or aortic valve.<br />Conclusions: The risks of this operation for patients with congenital heart disease undergoing multiple redo operations should be weighed against the benefits of normal-size mitral and aortic annular diameters and dramatically improved hemodynamics.<br /> (© 2023 The Author(s).)