For paper delivered by Manly Stallworth for Smithy, ""figure 3 - Showing the pericardium divided anteriorly and parallel to the phrenic nerve. Following infiltration of 1% procaine into a relatively avascular area of the left ventricular myocardium, a purse-string of 00 chromic catgut is placed, and an incision through the ventricular wall within the confines of the purse string suture is made. Hemorrhage is controlled with digital pressure until the valvulotome is inserted into the wound.
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