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Q. Anatomic Factors in Patient Selection for Mitral Valvuloplasty ?
The ideal patient is young, has pliable non calcified mitral leaflets, and mild subvalvular disease. TEE may be necessary to exclude LA thrombus and significant mitral regurgitation pre-procedure. Massive valvular calcification and bicommisural calcification are obviously contraindications for the procedure
The echocardiographic scoring system by Wilkins et al is very helpful to decide an anatomically suitable valve for Mitral Valvuloplasty. The maximum score is 16. A score of < 8 generally gives excellent results.
Mechanical requirements of implant materials Dental implant s must be able to sustain and transfer loads -It should have adequate mechanical strength in order to distribute th
Other Causes - Deforestation Natural enemies like termites, pests and several kinds of diseases affect the forests adversely. There is also massive destruction of forests beca
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