ArticleJTCVS open2024
Contemporary experience with the Commando procedure for anterior mitral anular calcification.
Article in JTCVS open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.
- 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
- Reconstruction of the Aorto-Mitral Curtain in Complex Infective Endocarditis: A Contemporary Narrative Review of the Commando Procedure.Reviews in cardiovascular medicine · 2026Review
- The "Commando" Procedure in Colombia: Early and Mid-Term Outcomes From the Largest Latin American Series.Interdisciplinary cardiovascular and thoracic surgery · 2026Article
- Type of patch material affects midterm outcomes of combined aortic and mitral valve replacement and aortomitral curtain reconstruction.JTCVS open · 2026Article
- Tips and tricks in addressing mitral annular calcification in mitral valve surgery.Annals of cardiothoracic surgery · 2025Review
- Surgical approach to mitral annular calcification-the Cleveland Clinic experience.Annals of cardiothoracic surgery · 2025Article
- Mitral annular calcification score by computed tomography in patients undergoing mitral valve surgery.European heart journal. Imaging methods and practice · 2025Article
Corrections and comments
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Authors and funding
22 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: Anterior mitral anular calcification, particularly in radiation heart disease, and previous valve replacement with destroyed intervalvular fibrosa are challenging for prosthesis sizing and placement. The Commando procedure with intervalvular fibrosa reconstruction permits double-valve replacement in these challenging conditions. We referenced outcomes after Commando procedures to standard double-valve replacements. Methods: From January 2011 to January 2022, 129 Commando procedures and 1191 aortic and mitral double-valve replacements were performed at the Cleveland Clinic, excluding endocarditis. Reasons for the Commando were severe calcification after radiation (n = 67), without radiation (n = 43), and others (n = 19). Commando procedures were referenced to a subset of double-valve replacements using balancing-score methods (109 pairs). Results: Between balanced groups, Commando versus double-valve replacement had higher total calcium scores (median 6140 vs 2680 HU, Conclusions: The Commando procedure with reconstruction of the intervalvular fibrosa destroyed by mitral anular calcification, radiation, or previous surgery demonstrates acceptable outcomes similar to standard double-valve replacement. More experience and long-term outcomes are required to refine patient selection for and application of the Commando approach.
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Registered trials
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.