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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.
Define some Symptoms of Epilepsy? The general symptoms of epilepsy include weakness, fainting, uncoordinated muscle movement. Based on the drug, common side effects include nau
How is it structurally explained that the motor activity of the left side of the body is controlled by the right cerebral hemisphere and the motor activity of the right side of the
TYPES OF NURSING UNITS: The design of nursing unit should maximize the function of the unit by following its task. The design of nursing unit has also under gone a radical cha
Q. Including major events and hormonal changes how can the menstrual cycle be described? One can imagine a cycle like an analog clock at which at 0 o'clock is the beginning and
Interact with the Parent and Child to Exchange Information At this time the nurse can learn why the child has come to the hospital and the concerns and expectations he and hi
Endosperm - Pollen Biology The examination of live material of j. montana reveals that the division of the primary endosperm nucleus is transverse, followed by the laying down
Q. Properties of foods? various properties of foods, under which the quality attributes of foods were introduced to you in terms of food quality and its categories as appearanc
What are the methods of foams? There are two basic methods in the formation of foams i.e. a) whipping and b) condensation.
Explain the Mechanism of Drying? Drying as a mechanism, you will realize, involves the removal of free moisture from the surface and also moisture from the interior of the mate
Explain about the Food analysis and chemistry? Investigation of the basic composition and physical, organic and biochemical properties of food constituents at the molecular lev
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