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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.
What is the drug permeability across the cornea? Drug permeability across the cornea depends onto: a. Lipid and water solubility of the drug b. Molecular size, weight and
Explain about the Antioxidant Activity of Sugar? Several carbohydrates are tremendous scavengers for metal ions. Glucose, fructose and sugar alcohols (sorbitol and mannitol) ha
IS Neuron B in the frog central nervous system Consider Neuron B in the frog central nervous system whose plasma membrane has a previously unknown channel that is selectly cond
Differentiation is largely a matter of gene control and imprinting (CH3) plays a role, but ___ may also play a role.
Q. Illustrate Numerical Taxonomy? Taxonomy today is, in many dctails, different from what it was a generation ago. The use of computers by taxonomists has established an intere
Define the factors effect the Quantity of Human Milk? A large healthy baby who can vigorously suck will induce and obtain much more milk from its mother than a small, sickly or
Poisoning: Poisoning is a common medical emergency in childhood. In children under 5 years of age essentially all poisoning are accidental. Nearly 75 per cent of all poi
Asymmetric carbon atom : a carbon atom attached with four different groups or atoms.
Q. Treatment and Management of Hypertension? The first choice of treatment and management of primary hypertension is through behaviour modifications pertaining to food choices
Or nit h o s i s (psittacosis) This is an important zoonotic bacterial infection and causes disease in humans and birds. Collectively, these conditions are called as chla
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