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Open Heart Surgery
These surgeries are done under alternative arrangements to continue oxygenated systemic blood supply, while the heart is operated on (Cardiopulmonary bypass).
Common open heart surgeries are:
Mitral stenosis
Open mitral valvotomy or commissurotomy
Removal of thrombi from atrium and its appendage
Commissure incision, separation of fused chordae
Splitting of underlying papillary muscle, and debriding the valve of calcium.
Mitral regurgitation
Annuloplasty Reconstruction of the valve leaflets and the annulus
Tricuspid regurgitation
With or without the aid of prosthetic rings (carpentier ring).
Once the decision has been made to retain the tooth there are two ways for ttt: • Non surgical retreatment : - guided access to apex via coronal access
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