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Chordal Sparing Operation: For sparing both leaflets, an incision is made on the anterior leaflet close to the annulus and then extended centrally and the two segments, are folded towards the posterior leaflet and pledgetted mattress sutures taken. Decision is taken whether a prosthetic or bioprosthetic valve is to be inserted. Then the correct sized valve is chosen. In a stenotic valve with a small LV, a low profile valve is the best choice-St. Jude 01- Medtronic Hall. When the left
ventricle is large, a Starr-Edward valve can be inserted. Deairing should be thoroughly done. It is not advisable to lift the LV for deairing through the apex when a bioprosthetic valve has been inserted. Some patients with AF will require suturing of atrial appendage from inside and a COX LU (MAZE) procedure as described in the case of open mitral valvotomy.
Chest Drainage Tubes (24-72 hours) Continue milking of chest tube hourly. Monitor the amount, colour and record on the flow chart. Assess dressing for any soak
I need the parts of the structure carbon. Include elements,monomer,polymer, and any sub units
what is the nature and scope of zoology?
Q. Does pH affect the enzyme activity? The concentrations of hydrogen ions in solution affect the enzyme activity. Each enzyme has utmost efficiency under an optimum p H . S
Explain about the Alzheimer's Disease? Named after the German neurologist who first described it, Alzheimer's disease is the most common cause of progressive dementia, due to t
What is the function of the antidiuretic hormone? Where is it made and which are the stimuli that enhance or decrease its secretion? The antidiuretic hormone is secreted by the
Q. What is the main risk factor for skin cancer? The major risk factor for skin cancer is solar exposition of the skin without protection against ultraviolet radiation (a poten
Life style modification in the management of diabetes mellitus All of us have our own way of living. It becomes a routine when we do things in the same way. But when one falls
Explain Oxidative phosphorylation Oxidative phosphorylation : Synthesis of ATP from ADP and Pi during the passage of electrons in the respiratory chain.
Molecular Biology - transgenesis Difficult to successfully insert the gene then successfully re-implant embryo possible pleiotropic effects low success rate / tak
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