A pannus arising from the neointima in the periannulus of the left ventricular septum ( 24 ) may extend to the orifice and hinges of a prosthetic valve and result in restricted leaflet motion or may cause severe stenosis due to obstruction of the left ventricular outflow tract by a circumferential pannus without restricting leaflet motion ( 22 23 ).

The next thing that impressed was the very high proportion of red or darkhearted wood and the very small ring of white wood in these darkhearted logs.

The lease expired in 1890, whenceforward the property reverted to its original owner.

All the uncertainties and misfigures of plans like this profit the agents and the companies, never the insured.