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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).
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The arterial supply is by the right and left coronary arteries. In the event of sudden block of one artery the area of myocardium supplied by that artery undergoes infarction.
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