Chaud German J, Perron Jean, Pagé Sylvain, Laflamme Maxime, Côté Jean-Marc, Jacques Frédéric
Service of Cardiac Surgery, Multidisciplinary Departement of Cardiology, Institut de cardiologie et de pneumologie, Université Laval, Qubec, Canada.
Service of Pathology, Institut de cardiologie et de pneumologie, Université Laval, Qubec, Canada.
J Card Surg. 2021 Feb;36(2):701-702. doi: 10.1111/jocs.15221. Epub 2020 Dec 1.
Invasive endocarditis involving the fibrous skeleton of the heart requires complex high-risk surgical management. For combined aortic and mitral infection in whom the posterior mitral leaflet and at least the free edge of anterior mitral valve could be spared, a modification of the Commando procedure was suggested: the "Hemi-commando procedure." We report the autopsy images of a Hemi-commando procedure after in unfortunate death in a 24 years old man 17 days after surgery.
累及心脏纤维支架的侵袭性心内膜炎需要复杂的高风险外科治疗。对于合并主动脉和二尖瓣感染且二尖瓣后叶及至少二尖瓣前叶游离缘可保留的患者，有人提出了改良的康曼多手术：“半康曼多手术”。我们报告了一名24岁男性患者术后17天不幸死亡后半康曼多手术的尸检图像。
