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Aortic Valvotomy : These days aortic valvotomy even in neonates and critically ill infants is done under cardio pulmonary bypass. Through a median stemotomy, ascending aorta and right atrium are cannulated after heparinisation. On bypass aorta is clamped. Cold cardioplegia is administered into the aortic root. If necessary, retrograde cardioplegia is administered through coronary sinus. Transverse aortotomy is done. Aortic wall is retracted, valve inspected and itortic valvotoiny is done. The fused commissures are divided upto lrnm away from the junction of aorlic annulus.
Division of unicomrnissural valve and of a rudimentary raphe will produce severe incompetence and so should be avoided, occasionally myxornatous nodules could be removed without dainaging the cusps. Aortolomy is then closed with continuous prolene sutures. It is good to monitor LA and PA pressures a1d measure aortic gradient and LV and RV pressures before closing the chest.
Qualitative Changes The qualitative changes in the structure of proteins in response to stress can lead to the following: Resistance against denaturation of prote
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Q. What is the auditory tube and its function? Auditory tube (Eustachian tube) connects each middle ear to the throat. This tube conducts air between tympanic cavity and outsid
Make a detailed study on Phylum Protozoa taking an example with clear labeled diagrams.
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Trace the flow of blood through the systemic circuit (hepatic portal system) and the pulmonary circuit, beginning and ending in the left ventricle. You will be using named chamber
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What are the processes that autotrophic beings use to produce organic material from inorganic substances? Autotrophic beings make organic material by photosynthesis or by chemo
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