Evidence map›Paper›PMID 34300329›Full record

ReviewJournal of clinical medicine2021

Surgical Aortic Mitral Curtain Replacement: Systematic Review and Metanalysis of Early and Long-Term Results.

Ilaria Giambuzzi, Giorgia Bonalumi, Michele Di Mauro, Maurizio Roberto, Silvia Corona, Francesco Alamanni, Marco Zanobini

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  15. Challenges in cardiology: diagnosis of native and prosthetic valve endocarditis.European heart journal supplements : journal of the European Society of Cardiology · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ilaria GiambuzziIRCCS Centro Cardiologico Monzino, Department of Cardiovascular Surgery, 20100 Milan, Italy.ORCID 0000-0003-3889-2406
Giorgia BonalumiIRCCS Centro Cardiologico Monzino, Department of Cardiovascular Surgery, 20100 Milan, Italy.ORCID 0000-0003-2353-0664
Michele Di MauroHeart and Vascular Centre, Cardio-Thoracic Surgery Unit, Maastricht University Medical Centre (MUMC), 9 Cardiovascular Research Institute Maastricht (CARIM), 6221 Maastricht, The Netherlands.ORCID 0000-0003-2611-5626
Maurizio RobertoIRCCS Centro Cardiologico Monzino, Department of Cardiovascular Surgery, 20100 Milan, Italy.
Silvia CoronaIRCCS Centro Cardiologico Monzino, Department of Cardiovascular Surgery, 20100 Milan, Italy.
Francesco AlamanniIRCCS Centro Cardiologico Monzino, Department of Cardiovascular Surgery, 20100 Milan, Italy.ORCID 0000-0003-0213-3715
Marco ZanobiniIRCCS Centro Cardiologico Monzino, Department of Cardiovascular Surgery, 20100 Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Commando procedure is challenging, and aims to replace the mitral valve, the aortic valve and the aortic mitral curtain, when the latter is severely affected by pathological processes (such as infective endocarditis or massive calcification). Given the high complexity, it is seldomly performed. We aim to review the literature on early (hospitalization and up to 30 days) and long-term (at least 3 years of follow-up) results. Bibliographical research was performed on PubMed and Cochrane with a dedicated string. Papers regarding double valve replacement or repair in the context of aortic mitral curtain disease were included. The metaprop function was used to assess early survival and complications (pacemaker implantation, stroke and bleeding). Nine papers (540 patients, median follow-up 41 (IQR 24.5-51.5) months) were included in the study. Pooled proportion of early mortality, stroke, pacemaker implant and REDO for bleeding were, respectively 16.2%, 7.8%, 25.1% and 13.1%. The long-term survival rate ranged from 50% to 92.2%. Freedom from re-intervention was as high as 90.9% when the endocarditis was not the first etiology and 78.6% in case of valvular infection (one author had 100%). Freedom from IE recurrences reached 85% at 10 years. Despite the high mortality, the rates of re-intervention and infective endocarditis recurrences following the Commando procedure are satisfactory and confirm the need for an aggressive strategy to improve long-term outcomes.

Indexed as

aortic mitral curtainCommando procedureendocarditisUFO procedure

Identifiers

PMID34300329
PMCPMC8305575

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.