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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.
Stethoscope Stethoscope is used for listening to the internal sounds of a body. Stethoscopes vary in their design and material. Most are made of Y-shaped rubber tubing. This sh
classification of coelenterats?
Soil-Environmental Components The word soil is derived from Latin word 'solum' meaning earthy material in which plants grow. The soil is the consolidated outer layer of the ear
Which of the below determines the major difference between bryophytes (pron: bry-oh-fites) and tracheophytes (pron: tray-key-o-fites)? a) Tracheophytes can make their own food
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Cation Saturation and Nutrient Absorption by Plants The availability of adsorbed cations is not always so easy as the above explanation might suggest. This is because, several
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