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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.
Hom o sapiens sapiens (MODER N MAN) - Developed from Cro-Magnon about 10,000 years ago after last glacial period in the regions of Caspian and Mediterranean seas.
The plasma membrane is the outer membrane of the cell it delimits the cell itself and a cell interior with particular conditions for the cellular function. As it is selectively per
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What is the association between inflammation and fever? In the tissue region where inflammation happens bacterial toxins, cytokines, prostaglandins, interleukins and endothelin
1.How does the skin on your palm differ from that on the back (posterior) of your hand? 2.Describe the differences observed in the type and distribution of hair on the front (anter
Yersinia enterocolitica The genus Yersinia contains of 3 human pathogenic species, Y. enterocolitica, Y. pseudotuberculosis and Y. pestis, among which, Y. enterocolitica finds
Explain Theory of Evolution through Natural Selection The third theory of evolution through natural selection was put forward jointly by Darwin, and Wallace in 1859. This theor
What are the five kingdoms into which living beings are divided? Which group of living being is out of this classification? The five kingdoms of living beings are the kingdom M
What do you mean by Pelvic Girdle? Bones in vertebrates which connect the appendages on left and right side of the posterior appendicular skeleton to each other. Pelvic girdles
Like DNA RNA is a long polymer having of nucleotides joined by 3'5' phosphodiester bonds. Furthermore, there are some differences: ? The bases in RNA are adenine abbr
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