Repair of atrioventricular disruption after mitral valve replacement utilizing commando procedure principles

Evgeny Raevsky; Lloyd Kwanten; Seamus Cullen; Serban Stoica

doi:10.1093/icvts/ivac179

Repair of atrioventricular disruption after mitral valve replacement utilizing commando procedure principles

Interact Cardiovasc Thorac Surg. 2022 Jul 9;35(2):ivac179. doi: 10.1093/icvts/ivac179.

Authors

Evgeny Raevsky¹, Lloyd Kwanten¹, Seamus Cullen¹, Serban Stoica^{1

2}

Affiliations

¹ Department of Cardiac Surgery, St Bartholomew's Hospital, London, UK.
² The Heart Institute, Bristol, UK.

Abstract

Atrioventricular rupture is a life-threatening complication of mitral valve replacement. We present how incising the intervalvular fibrosa critically improves exposure. The aortic valve sacrifice allows access to a large atrioventricular dissociation defect and reliable repair of the anterolateral aspect of mitral valve annulus.

Keywords: Atrioventricular dissociation; Commando procedure; Congenital; Mitral valve replacement.

MeSH terms

Aortic Valve / diagnostic imaging
Aortic Valve / surgery
Heart Valve Prosthesis Implantation* / adverse effects
Heart Valve Prosthesis Implantation* / methods
Humans
Mitral Valve* / diagnostic imaging
Mitral Valve* / surgery