A pioneer of modern cardiac surgery, Tirone David, joins A Cut Above for a deep dive into one of the specialty's most feared and technically demanding operations: the Commando procedure. Also featuring Eduard Quintana, listen for discussions from radical reconstruction for infective endocarditis and massive annular calcification to the mindset required when "there is no other option". This episode explores the anatomy, precision, and surgical courage behind extraordinary cases — while offering invaluable lessons on innovation, operative judgement, and the future of complex valve surgery.