Combined Manouguian–Guiraudon Approach for Double Valve Replacement: The Commando Revisited

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Double annular enlargement is a valuable technique for the cardiac surgeon, and it should be in his or her armamentarium when dealing with challenging aortic and mitral valve cases. The technique requires reconstruction of the intervalvular fibrosa. It redesigns the inflow and outflow of the left ventricle in a way that serves both annular enlargement and satisfactory valve replacement with resulting low gradients. Here, we describe our preferred operative steps.

Original languageEnglish (US)
Pages (from-to)e139-e141
JournalAnnals of Thoracic Surgery
Issue number2
StatePublished - Feb 1 2021

Bibliographical note

Funding Information:
The authors wish to thank Mr Michael King, Senior Medical Illustrator, Mayo Clinic, Rochester, Minnesota.

Publisher Copyright:
© 2021 The Society of Thoracic Surgeons

Copyright 2021 Elsevier B.V., All rights reserved.

PubMed: MeSH publication types

  • Journal Article
  • Technical Report
  • Video-Audio Media


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