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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 about the Sensory Neuropathy There is decreased sensory perception by foot for any external stimuli making foot prone to various injuries. Due to lack of pain does not
In an experiment, it was necessary that you determine the concentration of dsDNA by using a spectrophotometer. You used 6 microliters of your purified dsDNA, and the reading at OD=
a) In what ways do farmers try to improve the quality of (i) their soil, (ii) their crop plants? b) What other steps do farmers take to maximise the yield from their
Adrenal causes of hypertension are: 1) Excess of aldosterone production in primary aldosteronism. The diagnosis may be suspected when persistent hypokalemia is detected. Most of
Q. How does the sodium-potassium pump present in the cell membrane work? What is the significance of this protein for the cell? The sodium-potassium pump is the transport prote
Q. Explain Femoral Approach? This approach involves the insertion of a catheter over a guidewire i.e. inserted into a sheath in the right femoral artery. Systemic anticoagulati
The aim of earthquake-resistant structure designing The main objectives of earthquake resistant structures are as follows: (i) To avoid loss of lives due to the destruct
types of respiration
Preference Share Capital or Quasi-Equity It is also called quasi-equity because it combines features of equity and those of debt. It is preference because it is preferred to
You observe the following numbers of individuals of each genotype in a population: AA 700 Aa 200 aa 100 a.) what are the observed genotype frequencies in this populaiton?
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