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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.
Peri operative Myocardial Infarction : Peri operative Myocardial Infarction is diagnosed by the appearance of fresh Q waves. Non-Q, myocardial infarction is suspected when there
what organ stores glycogen
All the efforts that go into the preparation of instruments are futile if the sterilization process itself is not successful. There is no way of seeing that instruments are sterile
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Discuss mental nerve, its anatomic variation and surgical importance. Mental nerve, branch of inferior alveolar nerve is a very important landmark during osteotomy procedures.
Lentic Ecosystems Lakes are inland, depressions containing standing water. They vary considerably in area and depth. The largest lake in the world, the lake Superior in North
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Define about the Gastric Cancer? Surgical treatment is a very common mode of treatment in gastric cancer. Radiation and/or chemotherapy are given for patients with resected but
What is triacylglycerol There are 3 hydroxyl groups in a glycerol molecule. If all the three groups are forming ester linkage with fatty acids, the resulting compound is call
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