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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.
D- and L- glucose are Select one: a. stereoisomers b. configurational isomers c. optical isomers d. enantiomers e. all of the above
what is the excretory organ of agama lizard
Bone Surfaces: There are four major bone surfaces: 1) Periosteal (outer surface of all bones) 2) Endosteal (inner surface of cortical bone) 3) Haversian (inner surface o
The metaboilc changes would depend on the following factors: a) Nature of infection b) Severity of the infection c) Duration of the infection d) Presence or abse
1. Considering the nature of negative-feedback control and the function of the respiratory system, what effect do you predict that a decrease in CO2 in the internal environment wou
Which type of cell came first in evolution - the eukaryotic cell or the prokaryotic cell? This is an interesting problem of biological evolution. The most accepted hypothesis a
about benificial microbes
Define Types of Non Enzymatic Browning Reaction? Two major types of non enzymatic browning reaction have been recognized to occur in foods during processing. 1. Maillard Rea
H yd r o p e r i c a r d i um - h e pa titi s syndrome Also known as 'Angara disease' or 'leachy heart disease', this complex illness of poultry spread rapid
Define the Nutritional Needs of Microorganisms? About 95% of dry cell weight of microorganisms is constituted by macro elements. These are carbon (C), nitrogen (N), oxygen (O),
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