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Classic Procedure: The approach is the same as described earlier for open mitral valvotomy. The excision starts with an anterior incision on the anterior leaflet at 12o'clock position, 2mm distal to the annulus. The incision is extended. The anterior leaflet with the chordae and the tip of the papillary muscle are removed. If the posterior leaflet is calcified, it is also excised along with chordae and tips of papillary muscles. Over zealous excision and suturing may cause venticular rupture or damage to circumflex coronary arteiy. Valve size is assessed according to the type of valve selected by the surgeon. The valve can be sutured by a continuous suture technique or interrupted pledgetted mattress sutures using 2 '0' braided polyester sutures. The pledgets are usually placed on the atrial aspect or rarely on the ventricular aspect.
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Explain Theory of Evolution through Natural Selection The third theory of evolution through natural selection was put forward jointly by Darwin, and Wallace in 1859. This theor
Explain the Objectives of Congenital Heart Disease ? After reading this unit, you should be able to: 1 Comprehenced the epidemiologic significance of congenital heart disease (
J-shape d - It shows 2 phases - (i) Lay phase (ii) Exponential phase
How much Protein should be taken for Management of Obesity? Adequate amount of proteins should be included in the diet to ensure proper metabolism and prevent weakness which is
Q: What are disaccharides? Although theoretically disaccharides could be made up of two trioses, tetroses, pentoses but all naturally occurring disaccharides contain hexose mol
How does the structure of a crab relate to its habitat? It's difficult exoskeleton protects it for most predators & keeps water off its flesh. The claws are used for mating due
Define about the Polyphenols? We now come to a group of compounds, which were until recently considered to adversely influence nutrient absorption or giving colour to foods e.g
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Proteins of Plant Origin Vegetable Proteins: Fresh vegetables are not considered to be a very good source of proteins. On fresh weight basis, the average protein content of s
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