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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.
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Setting priorities for action: It is not enough for our actions to be coordinated with events in the outside world; they must reflect our internal needs. Pain can flood conscious
General guidelines for use of BONE GRAFTING 1. The surgical site should be prepared, that is it should be free of granulation tissue. 2. For autogenous grafts- the donor sit
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Marek's disease Marek's disease is a lymphoproliferative disease of chicken, quails, bantams and other free-flying birds. It is caused by the Gallid Herpesvirus 2 of subfamily
OBJECTIVES : After reading surgery, you will be able to: 1 understand the fundamental of closed and open heart surgery and recent developments in off pump surgery; 2 in
How does the sexual arousal mechanism in women facilitate fecundation? During sexual arousal in women the vagina secretes substances to neutralize its acidity therefore allowin
How are grasslands classified? Grasslands might be classified into steppes and savannahs. In the steppes the prevailing vegetation is grass, as in the pampas of South America
How is the ovulation date estimated with the control of the woman's body temperature? One method to estimate the exact ovulation day is daily control of the body temperature ta
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