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Part A of surgical technique for the Commando procedure. (A) Debridement of the infected valve and aortic root; (B) inspection of the left atrium (LA), the left ventricular outflow tract (LVOT) and the posterior mitral valve (MV); (C) mitral valve replacement; (D,E) to suture the pericardial patch to the artificial MV; (F) reconstruction of the aortic-mitral curtain (AMC) with a pericardial patch.
