Abstract：
Infective endocarditis, particularly after implanting valve prostheses, poses significant surgical challenges, often requiring complex interventions. We describe a case of a 37-year-old male with Staphylococcus aureus endocarditis, unsuccessfully treated with mechanical valve prostheses. Continued infection led to the destruction of the intervalvular fibrous body, necessitating a Commando procedure involving radical debridement and replacement of both aortic and mitral valves with complex patch reconstruction. Prosthesis selection remains contentious, considering recurrence risk and long-term prognosis. Our case underscores timely intervention and meticulous technique in managing such complex situations. It highlights successful strategies for treating infective endocarditis with destruction of aortomitral continuity, emphasizing the pivotal role of the Commando procedure.
摘要：
感染性心内膜炎,特别是植入瓣膜假体后，带来了重大的手术挑战，往往需要复杂的干预措施。我们描述了一例37岁男性金黄色葡萄球菌心内膜炎，机械瓣膜假体治疗失败。持续感染导致瓣膜间纤维体的破坏，需要Commando手术，包括根治性清创术，并通过复杂的补片重建置换主动脉瓣和二尖瓣。假体选择仍然有争议，考虑复发风险和长期预后。我们的案例强调了在管理此类复杂情况时的及时干预和细致的技术。它强调了治疗感染性心内膜炎并破坏主动脉二尖瓣连续性的成功策略，强调突击队程序的关键作用。
