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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.
Proteins necessity They are called as body builders. The proteins are used in various metabolic pathways and body building. They help in repairing the tissues of the b
Wound breakdown With careful flap design and gentle tissue handling this is a rare complication. The healing which follows is by secondary intention and can be aided by chlorhe
State the term - Viral Infections A virus is an encapsulated aggregate of nucleic acid that may be made of either DNA or RNA. Some viruses, such as those causing poliomyelitis
What is the part of the female reproductive system where fecundation occurs? Fecundation generally happens in the Fallopian tubes but it can also take place within the uterus.
PHYLUM ECHINODERMATA Definition and Indroduction Bilateral and deuterostomial eucoelomate eumetazoa with rough , tough and leathery skin due to a dermal skeleton o
How can the binding of two amino acids for the peptide formation be described? A peptide is formed when a carbon from the carboxyl group of one amino acid is linked to the nitr
Define Lactose intolerance - Modification of carbohydrate intake? This has been covered under the section on digestion and absorption earlier. We learnt that in case of lactose
Q. What is protocooperation? The Protocooperation is the ecological interaction in which both participants benefit but which is not obligatory for their survival. The Protocoop
Q. Effects of smoking on oesophagitis? 1. A decrease in pyloric sphincter pressure which may predispose an individual to duodenal ulcer. 2. An alteration in the nature of ga
Equivalence point and end point - Nutritional Biochemistry? Titrimetric analysis volumetrically measures the amount of reagent, often called a titrant, required to complete a
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