Posung Chen1,2, Chungyi Chang3, Yicheng Chuang3, Ichen Chen3, Tingchao Lin4,5. 1. Division of Cardiovascular Surgery, Heart Center, Cheng Hsin General Hospital, Taipei, Taiwan. even.sinfonia@gmail.com. 2. Department of Surgery, Kinmen Hospital, Kinmen, Taiwan. even.sinfonia@gmail.com. 3. Division of Cardiovascular Surgery, Heart Center, Cheng Hsin General Hospital, Taipei, Taiwan. 4. Division of Cardiovascular Surgery, Heart Center, Cheng Hsin General Hospital, Taipei, Taiwan. tingchaolin@gmail.com. 5. Department of Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan. tingchaolin@gmail.com.
Abstract
BACKGROUND: Complicated infective endocarditis (IE) with perivalvular abscess and destruction of intervalvular fibrous body (IFB) has high mortality risk and requires emergent or urgent surgery mostly. CASE PRESENTATION: We presented four patients with complicated infective endocarditis combined with perivalvular abscess and IFB destruction. Three patients had prosthetic valve endocarditis and one patient had native valve endocarditis. They all received modified Commando procedure successfully. No surgical mortality or re-exploration for bleeding. CONCLUSIONS: We suggest that modified Commando procedure may have some benefit in improving survival rate of patients with complicated IE and reducing complications.
BACKGROUND: Complicated infective endocarditis (IE) with perivalvular abscess and destruction of intervalvular fibrous body (IFB) has high mortality risk and requires emergent or urgent surgery mostly. CASE PRESENTATION: We presented four patients with complicated infective endocarditis combined with perivalvular abscess and IFB destruction. Three patients had prosthetic valve endocarditis and one patient had native valve endocarditis. They all received modified Commando procedure successfully. No surgical mortality or re-exploration for bleeding. CONCLUSIONS: We suggest that modified Commando procedure may have some benefit in improving survival rate of patients with complicated IE and reducing complications.
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