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As all blood flows back to the heart, clamping down on blood vessels is very important in open heart surgery. Clamping down on blood vessels will slow down blood flow so that while in surgry, the blood wouldn't come in, as it naturally would, and flood the chambers of the heart. And because it's an open heart surgery, the blood would go nowhere and it wouldn't be circulated back throughout the body. The patient would probably die from loss of blood as a result.

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