dmitry blinnikov, alexander merkuriev, mariana pepanya. news.l region performed a complex operation on a patient with inflammation of the inner lining of the heart. a rare disease that primarily affects the heart valves was it was detected at a late stage, so the surgeon at the vladimirsky institute had to replace the affected organs. with details anastasia makhina. fever, weakness, shortness of breath. andrei vitalievich was sure there was nothing to worry about, it was a common cold. the temperature was almost. well, i mean, you take a course of antibiotics, the temperature drops, after 2-3 days it comes back again, this was the symptom, no symptoms, there was no cough or any other symptoms, the diagnosis turned out to be much more serious infectious endocarditis of the aortic and mitral valves in severe form, an urgent operation of the patient was taken to the vladimirsky research clinical institute , this particular operation, it is called in the literature operation command, it is performed extremely rarely, because such a neglected and sev