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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.
Pelagic Zone - Organisation of the Marine Ecosystem The waters contained in the sea basin, constitute the pelagic zone which is divided into The neritic zone situ
what is a bio molecule
It is elimination of an antigen or antibody from a sample by the process of adsorption, to which the complimentary antigen or antibody is bound.
Define Sugars - Chemistry and Functionality? In this section we will learn about the simple carbohydrates called sugars. As you may already know, those carbohydrates that canno
What are the factors that for influencing photosynthesis also interfere with the gross primary productivity? Mostly water and light, but also mineral salts, temperature and car
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Processing Methods for Amelioration of Anti-Nutritional Meals from many oil seeds often contain undesirable toxic and allergenic compounds that can reduce their nutritive valu
Explain the term - Migraine Perhaps the most common neurological disorder, migraine afflicts some 5% to 20% of the population at some time in their lives. The World Federation
Describe what is Respiration in Dynamic Auscultation ? a) S 2 : Splitting of S 1 is audible during inspiration. b) Diastolic sounds and Ejection sounds: Inspiration augment
define zoology
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