Aortic valvotomy-surgical techniques, Biology

Assignment Help:

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.

 


Related Discussions:- Aortic valvotomy-surgical techniques

National health service systems, Normal 0 false false false...

Normal 0 false false false EN-IN X-NONE X-NONE MicrosoftInternetExplorer4

Morphogenetic processes, Morphogenetic Processes We discussed earlier...

Morphogenetic Processes We discussed earlier the process through which a fertilized egg assumes the shape of a ball or a sheet of cells around a cavity, called blastula. Cons

Microorganisms, MICROORGANISMS : Great care must be taken in microbiologic...

MICROORGANISMS : Great care must be taken in microbiological experiments, particularly with pathogenic (disease producing) organisms. Many microorganisms which are normally harmle

Which dsdna is imprtant for dna purification, Which of the following proper...

Which of the following properties of dsDNA is imprtant for DNA purification? A. Hydrophilic B. Positively charged phosphate backbone C. Can only bind to divalent cations

LIFE, What is life?

What is life?

Pulmonary valvotomy with infundibular resection, Pulmonary Valvotomy with I...

Pulmonary Valvotomy with Infundibular Resection :  Infundibular obstruction in cases of pulmonary valvar stenosis could be primary or secondary. 11' this obstruction is signi

Explain immunogenicity, Immunogenicity  The safety and immunogenicity o...

Immunogenicity  The safety and immunogenicity of the new vaccine was evaluated in two unpublished studies that are summarized in the package insert. Among 1280 adults (18-55 ye

Acid rain, What direct or indirect effect is acid rain thought to have on m...

What direct or indirect effect is acid rain thought to have on mama''s and forest and buildings

Vasa diffrentia, VAS A DIFFRENTIA - Originate from wollfian duct ....

VAS A DIFFRENTIA - Originate from wollfian duct . It comes out fo cauda epdidymis enters into abdominal cavity through inguinal canal, forms loop round the uretor and j

Determine the working of law of diminishing return, Determine the working o...

Determine the working of Law of diminishing return According to the 'Law of diminishing return' the increase in the yield by a unit increase of the defi cient factor is proport

Write Your Message!

Captcha
Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd