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

What are the main types of inheritances - epistasis, According to Mendel's ...

According to Mendel's law phenotypical characteristics would be verified by pair of factors (alleles) that separate independently in gametes. What are the main types of inheritance

Denitrification - nutrient cycles, Denitrification - Nutrient Cycles N...

Denitrification - Nutrient Cycles Nitrates are readily leached from the soil and also lost through denitrification the process by which molecular or gaseous nitrogen (N 2 ) as

Drawbacks of lamellar model, Drawbacks of Lamellar model This model ...

Drawbacks of Lamellar model This model does not explain the elasticity of PM. Although this model says that PM is elastic but it also states that head of lipid molecules is

Genetics of nitrogen-fixation, Genetics of Nitrogen-fixation The genet...

Genetics of Nitrogen-fixation The genetics of nitrogen-fixation is known in detail in Klebsiella pneumoniae. There are twenty genes required in organising the complete N 2 -fi

Different from the interphase of meiosis, Q. Is the interphase of mitosis d...

Q. Is the interphase of mitosis different from the interphase of meiosis? The interphase mitosis that proceeds is similar to the interphase that precedes meiosis. In them the m

Define preterm and low birth weight, Define Preterm and Low Birth Weight? ...

Define Preterm and Low Birth Weight? The foetal and neonatal health is mainly dependent on the birth weight and it has been well recognized that perinatal (from birth upto one

Determine causes of iron deficiency anaemia, Determine Causes of Iron Defic...

Determine Causes of Iron Deficiency Anaemia? Dietary Inadequacy Poor bioavailability of iron Presence of absorption interfering substances in diet Poverty and

Demonstrate the counselling process in the form of role play, Q. Demonstrat...

Q. Demonstrate the counselling process in the form of role play? Role playing refers either to the unconscious changing of one's behavior to assume a social role or roles in lif

Determine in brief about the mse, Determine in brief about the MSE The ...

Determine in brief about the MSE The MSE deals with questions concerning the addressee's Consciousness, Emotional State, Thought Content and Clarity, Memory, Sensory Perception

Analysis of the written reports, Analysis of the written reports   of  serv...

Analysis of the written reports   of  service in relation  to  the fitness, quality and efficiency of the service should be provided. The routine record-checking is always insuffic

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