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This site has the following on the site, "As a staff member of the renowned Texas Heart Institute, David A." Our analyzers noticed that the web site also said " Is one of the worlds most experienced heart surgeons, having performed over 20,000." The Website also stated " His reputation for technical expertise is recognized nationally and internationally and he is known for his intrepid approach to the most difficult problems. Dr Ott has special expertise in the field of coronary artery bypass. And valve repair and replacement surgery. Dr Ott has received numerous honors." The website's header had heart surgery as the most important keyword. It was followed by heart surgeon, cardiovascular surgery, and cardiothoracic surgeon which isn't as ranked as highly as heart surgery. The next words the site uses is mitral valve. mitral valve disease was also included and will not be viewed by web engines.