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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).
Management Establish and maintain airway. Anticipate need for incubation if respiratory distress evident. Administer high humidified O 2 , using non-rebreather mask.
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