The Hemi-Commando - A New Technique for Double-Valve Endocar
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The IFB is an essential piece of structural tissue between the aortic and mitral valves that’s often damaged in bivalvular IE. In a normal commando operation, the IFB is reconstructed using autologous or bovine pericardial tissue.

“Most of these operations are reoperations,” says Dr. Navia. “Very often they are in patients with prosthetic aortic valve endocarditis where the infection aggressively extends and destroys not just the aortic annulus, but also the IFB and the anterior leaflet of the mitral valve.”....

https://consultqd.clevelandclinic.org/2016/08/hemi-commando-arrives-new-technique-double-valve-endocarditis/
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