title: How to Do It: The Commando Operation for Reconstruction of the Fibrous Skeleton with Double Valve Replacement.
abstract: Infiltrative processes that extend into the intervalvular fibrosa, such as infection or calcification, often mandate a complex reconstructive procedure known as the Commando operation. First described less than 20 years ago, this operation is not widely implemented, with experience limited to a few select centers. This report provides a detailed summary of our approach to this intricate procedure.
authors.affiliation: Department of Cardiac and Thoracic Surgery, Baylor University Medical Center, Dallas, Texas, USA.
authors.forename: Brian
authors.initials: B
authors.lastname: Lima
authors.affiliation: Department of Cardiac and Thoracic Surgery, Baylor University Medical Center, Dallas, Texas, USA.
authors.forename: Themistokles
authors.initials: T
authors.lastname: Chamogeorgakis
authors.affiliation: Department of Cardiac and Thoracic Surgery, Baylor University Medical Center, Dallas, Texas, USA.
authors.forename: Juan C
authors.initials: JC
authors.lastname: MacHannaford
authors.affiliation: Department of Cardiac and Thoracic Surgery, Baylor University Medical Center, Dallas, Texas, USA.
authors.forename: Aldo
authors.initials: A
authors.lastname: Rafael
authors.affiliation: Department of Cardiac and Thoracic Surgery, Baylor University Medical Center, Dallas, Texas, USA.
authors.forename: Gonzalo V
authors.initials: GV
authors.lastname: Gonzalez-Stawinski
authors.affiliation: Department of Cardiac and Thoracic Surgery, Baylor University Medical Center, Dallas, Texas, USA.
authors.forename: Brian
authors.initials: B
authors.lastname: Lima Md
mesh_terms: D001021:Aortic Valve / Q000601:surgery*; D005355:Fibrosis / Q000601:surgery; D006349:Heart Valve Diseases / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008943:Mitral Valve / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013536:Suture Techniques