Open commissurotomy of the mitral valve,which is performed for mitral stenosis,is the separation of fused,adherent leaflets of the mitral valve.The nurse assists in placing the patient in the supine position for a median sternotomy.The setup is the same as that described for open-heart procedures,with mitral valve instruments.Select two additional nursing actions that are relevant to the patient with open commissurotomy.

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Quizplus · Accepted Answer

Because there is a possibility that the valve may have to be replaced,instruments (and mitral prostheses)for replacement as well as repairs should be available.TEE is used to establish a cardiac functional baseline and to confirm efficacy of the repair both after the cross-clamp is removed and the heart resumes beating and after bypass is discontinued.

Open Commissurotomy of the Mitral Valve,which Is Performed for Mitral