The level of detail included in a contract management plan will vary, depending on the nature of the goods or services being purchased. The majority of the information needed to complete the contract management plan will be located in the contract (including the specifications and the contractor's tender documentation).he level of detail included in a contract management plan will vary, depending on the nature of the goods or services being purchased. The majority of the information needed to complete the contract management plan will be located in the contract (including the specifications and the contractor's tender documentation).
Many people with severe mitral valve regurgitation may not have symptoms, yet may still benefit from early mitral valve repair. Signs and symptoms of mitral valve regurgitation, which depend on its severity and how quickly the condition develops, can include: Blood flowing turbulently through your heart (heart murmur)
Mitral stenosis, mitral regurgitation and mitral valve prolapse are all defects of the heart's mitral valve. The heart is a two-sided pump with four chambers. Four valves control the flow of blood through the heart.roblems with the mitral valve include: 1  Mitral stenosis: The leaflets are fused, are too thick, or there is some other structural defect in the valve leaflets. 2  Sometimes, mitral stenosis occurs as a result of surgery to repair an abnormal mitral valve.