cecilia-ahern-love-rosie

266 Cecelia AhernRosie:Alex:Rosie:Alex:Rosie:Alex:Rosie:Alex:Rosie:Alex:Rosie:Alex:Rosie:Alex:Rosie:Alex:Rosie:Alex:called Mr. Jackson if you really must no, who needs aortic valvesurgery.Why?Because he has aortic stenosis.Why?Well the reasons behind aortic incompetence in general are rheumatic.Why?It’s due to annulo-aorto ectasia, endocarditis, and aortitis amongothers. But don’t worry (because I no that you are), Mr. Jacksonwill be fine.Why?Because thankfully due to 75 years of studying I have learned anoperation involving the ball valve prosthesis which will help him.Why?Oh Rosie . . . OK but you asked . . . it will help him because afterinduction of circulatory support by extra corporeal circulation,cooling of the patient and heart, the aorta is x-clamped and theaorta valve exposed after the aorta is opened.Why?So the aorta valve can be examined and excised for the aortic valvereplacement. So then the sizing of the aortic annulus is done by avalve sizer.Why?To help select the size of the aortic valve prosthesis. Then the valvesutures are placed into the aortic valve annulus and into the heartvalve prosthesis.Why?To tie the valve prosthesis secure into the valve annulus of course.So then the artificial heart valve is in place, the aorta is closed by arunning suture, the heart is de-aired and the operation is finished.And Mr. Jackson will be a healthy man. Any more questions?The aorta, it’s in, like, the heart, right?Very funny Rosie. OK I’m really going this time; I’m really glad we