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Surgery
A lady presents with grade 3 dyspnea. She has severe mitral strenosis with atrial fibrillation. Also increased ventricular rate with a clot in the left atrium. Which of the following should not be done?
Diltiazem to reduce the hea rateWarfarin therapy
Warfarin therapy
Open mitral commissurotomy and removal of clot
Cardioversion with percutaneous balloon valvotomy
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