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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.
Explain Post-lyme disease syndrome Some treated patients whose objective manifestations of Lyme disease have resolved with antibiotic treatment report subjective symptoms suc
Define Buffers and Buffer Solutions? Solutions containing both weak acid and their salts or solutions containing weak hydroxides and their salts are referred to as buffer solut
Q. What is the usual biological function of the connective tissues? How is this function associated to the main features of its cells? The usual function of the connective tiss
Q. What is bioremediation? The Bioremediation is the use of microorganisms, like protists, bacteria and fungi to degrade noxious substances turning them into non toxic or less
Wigs and hairs - Seed Appendages Seeds of certain plants have epidermal outgrowths or the integuments themselves may form folds and projections that present a wing-like appea
Explain the Protein Energy Malnutrition (PEM)? Protein Energy Malnutrition (PEM) is the deficiency of macronutrients or energy and protein in the diet and forms the most import
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What is difficult breathing? Difficult Breathing: Tachypnea (respiratory rates consistently more than 451 min), is a characteristic manifestation of heart failure in newborns (
Q. Biological monitoring to validate that the sterilizer? The use of biological monitors (spore tests) is the most reliable method to validate that the sterilizer is functionin
Human Factor Theory - Accident Causation This theory of accident causation suggests that a chain of events caused by human error is the cause of accident. The chain of events
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