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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.
Enumerate about the Reitan Aphasia Screening Test This test serves two purposes in that it contains both copying and language-related tasks. As an Aphasia screening procedure,
Benefit of the new brain imaging technology Benefit from the new brain imaging technology, notably the CT scan, and the application of high speed computer technologies, permitt
The axons of all the baroreceptors in the body were destroyed at 2 AM. All else is normal. Which of the following statements is true for the system at 2:10 AM when compared to the
Pollen Tube Structure The pollen tube in the stigma is filled with cytoplasm containing numerous mitochondria and dictyosomes. The number of dictyosome cisternae is reduced i
Define Nutrition Support in elderly - Parenteral, Enteral and Oral? Under nutrition either due to dietary deficit a due to a medical complication may arise in the elderly. The
fat digestion requires two steps, what are the steps and what enzymes are use to accomplish
how does a cell formed
What is the karyotype found in Down syndrome? Down syndrome is the aneuploidy that is a numeric alteration of chromosomes within the cells compared to the normal number of chro
Explain Total Anomalous pulmonary Venous Connection (TAPVC) ? In this congenital anomaly there is no direct communication between the pulmonary veins and the left atrium. All
Q. Show Risk factors of cardiovascular disease? Various risk factors of cardiovascular disease. We will now briefly mention the causes related to hypertension. 1. Genetic
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