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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.
Determine the posterior superior alveolar nerves The anterior, middle and posterior superior alveolar nerves run in the facial wall of the maxillary sinus between its lining me
Q. What is the lasting form in the gametophyte, pteridophytes or the sporophyte? How can it be compared to bryophytes? The lasting form in pteridophytes is the diploid (2n) spo
X-Linked Traits in Humans Let us first examine traits determined by genes on the X-chromosome, or the X-linked traits. The human X chromosome contains many genes that are requi
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write down the division of cryptogamae and phanerogamae
Single Vessel Disease (SVD) : They do well on medical treatment or with angioplasty. However if proximal LAD is significantly blocked and LIMA can be used as a conduit, surgery g
Q. How does vitamin C act in the body? What is the harm caused by insufficiency of vitamin C? Why was this deficiency also known as "sailors' disease"? Vitamin C, or ascorbic a
Q. What is pus? Pus is a residual of the inflammatory reaction and it contains a mixture of fragments of dead infectious agents (generally bacteria), leukocytes and tissues.
State the term in brief -Asconoid sponge? Of the three different sponge architectures, it is the simplest. It comrpsies a central choanocyte lined spongocoel which opens to the
Oxides of nitrogen: These include nitrogen monoxide (NO) and nitrogen dioxide (NO2). NO is a colourless, odourless and inert gas but like CO it can also combine with
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