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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.
A decrease in blood plasma levels of parathyroid hormone A. occurs in response to an increase in the levels of calcium ions in blood plasma. B. leads to an increase in the a
LIPOPROTEINS They are complex biomolecules formed of - T riglycerides, Phospholipids, Cholesterol and Proteins. Lipoproteins are of four types - Chylomicrons
Eucaryotic Cell Organelles A eucaryotic cell has excessive foldings of intrace!:u:;ir cembrane as compared to procaryotic cell. The eucaryotic cell has a number of'organelles s
Q. What is Electrocardiogarm? Poor R-wave progression, in precordial leads, or q-waves in anterior leads. Intraventricular conduction defects, esqecially LBBB are common. There
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Circulation: If central pulses (femoral in infants and carotid in children) are not palpable, begin chest compression without losing any time. In young infants, encircle
what is radula?
What is a recessive gene? With the birth of a child, it gets its genes from both parents. Some genes 'override' other genes. Using hair color as instance: If single parent i
Is nitrogen is important plant nutrients Nitrogen is an important plant nutrient which is assimilated by most of the plants as nitrate and ammonium ions. Organic matter is the
Manual and Automatic Toothbrushes Brushing is imperative and soft or medium toothbrushes are recommended. Small heads are useful because they allow better access. Automatic too
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