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

Open commissurotomy of the mitral valve, which is performed for mitral stenosis, is the separation of fused, adherent leaflets of the mitral valve. The circulator 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 actions that are relevant to the patient with open commissurotomy from those listed below.

A) Have valve replacement instruments available.
B) Have tricuspid prosthetic implants available.
C) Have a transesophageal echocardiogram (TEE) probe and machine available.
D) Have anterolateral positioning devices available if valve replacement is needed.