ArticleFrontiers in cardiovascular medicine2023
Early outcomes of the "Chimney" commando procedure in the small aortic and mitral annuli.
Article in Frontiers in cardiovascular medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.
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Who cites it
5 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Permanent pacemaker rate following Commando and Hemi-Commando procedures: a systematic review and meta-analysis.Frontiers in cardiovascular medicine · 2026Pooled it
- Commando procedure in cardiac surgery: a narrative review.General thoracic and cardiovascular surgery · 2025Pooled it
- Bridging present and future: a case report of CT-Guided "Chimney" Commando for prosthetic sustainability in the transcatheter age.BMC surgery · 2026Article
- A Novel Technique for Simultaneous Double Annular Enlargement Using a Single Dacron Graft.Annals of thoracic surgery short reports · 2026Article
- Successful double valve replacement with extensive annular enlargement using the Commando procedure in a patient with small aortic and mitral annuli after previous double valve surgery.Journal of surgical case reports · 2026Article
Corrections and comments
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Authors and funding
7 authors.
Funding
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Abstract
Background: Commando procedure, the surgical replacement of the mitral and aortic valves combined with reconstruction of the fibrosa fibrous body, is a technical challenge in patients with small aortic and mitral annuli. In this study, we evaluated the safety and early outcomes of the "Chimney" modality of the Commando procedure, in patients with small aortic and mitral annuli, after prior valve surgery, using a self-assembled valved conduit. Methods: From April 2021 to April 2022, 30 consecutive cases of the "Chimney" Commando procedure, with a self-assembled valved conduit and other combined cardiac procedures, were fully performed for re-operative patients with small aortic roots. Data were obtained through a medical record review, at the Asian Heart Hospital in Wuhan, China. Results: The patient's mean age was 52.7 ± 13.53 years, with 93.3% females. All patients had a previous heart valve surgery, 90% of which had double valve replacement (DVR). Hospital death occurred in 3.3% ( Conclusions: In comparison with the standard Commando operation, the early outcomes and safety of the "Chimney" Commando procedure proved to be a feasible therapeutic option for patients with small aortic and mitral annuli, after prior valve operations. This approach enables the enlargement of the aortic and mitral annuli and the implantation of the necessary valve prosthesis.
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