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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.
Define Energy Requirements and Dietary Energy Recommendations? Energy requirement, as you may recall studying earlier, is the amount of food energy needed to balance energy exp
Trace the flow of blood through the systemic circuit (hepatic portal system) and the pulmonary circuit, beginning and ending in the left ventricle . You will be using named chamb
It is a complex of antibody bound to antigen, which contains complement components.
Y-Linked traits in humans Any gene that occurs exclusively on the Y chromosome is said to be holandric and it is not expressed in females. Such a Y-linked gene normally occurs
Vitamin B 12 (Cyanocobalamin) Vitamin B 12 refers to a group of Cobalt-containing corrinoids known as cobalamins. It is also called antipernicious- anemia factor, extrinsic f
Q. What is the adnexal organ of the digestive system in which bile is stored? How does this organ react to the ingestion of fat rich food? Bile is concentrated and stored in th
Q. How many chambers does the fish heart have? The fish heart is a tube made of two consecutive chambers such as one ventricle and one atrium.
why fishes are known as pisces
QUESTION Behaviourists underestimate the importance of biological factors such as the inherited factors, by emphasizing the simple approach of Stimulus-Response to explain beha
How much Fats should be taken for management of obesity? Fats, being a concentrated source of energy need to be restricted. Excess dietary fat promotes much more weight gain th
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