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Preparation of 2 donor lungs

Incision or removal of tissue below aortic valve

Removal of thickened heart muscle at left lower heart chamber

Repair of mitral valve through the skin, initial prosthesis

Repair of mitral valve through the skin, additional prosthesis

Repair of mitral valve on heart-lung machine

Repair of mitral valve with artificial valve on heart-lung machine

Repair of tricuspid valve

Repair of tricuspid valve with ring Insertion

Initial instillation of agent onto lung lining using chest tube