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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.
Determine about the Manganese Manganese performs some functions in photosynthesis and acts to regulate the intake of certain elements and their oxidation states. Several cr
Why is it more probable that the photosynthetic prokaryotes appeared before the aerobic eukaryotes? It is more feasible that photosynthetic prokaryotes appeared before the aero
How many kidney in man?
Q. What are the Pseudo-yeasts? These are like true yeasts but do not form spores. All the members of this group are particularly unsuitable for fermentation purposes as they p
Under which forms is the Trypanosoma cruzi found in its hosts? In the definitive hosts as well as in triatomine bugs (middle hosts) the protozoan that causes Chagas' disease ch
Q. What are the different radiographic techniques used for assessing osseointegration? The different radiographic techniques used to assess osseointegration prior to stage 2 su
A few individuals from a herd of deer are forced to migrate to a new herd. This is an example of resulting in. a. Gene flow; enhance in similarities between populations.
what is mitosis and meiosis? what do they do?
Zoonotic diseases and trade Disease and trade have a long-standing, interwoven history. During the 14th century, Europeans realized the value of exotic nature of goods and mat
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