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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.
characteristics of protozoans
In biological studies which of the below is used to refer to iron-containing, oxygen-binding, conjugated protein complex present in sarcoplasm of muscle cells? a) Myelin b)
Benefits of Computerization Computerization were the following benefits in nursing: Improved professional care Better accuracy (by decreasing human error) Effect
what is the branches of applied?
Which of the below is usually referred to as "master gland" because it regulates so many body activities? Is it: a) Pituitary gland b) Thyroid gland c) Adrenal gland d
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Explain Trifluridine (Viroptic) Trifluridine is a nucleoside analog active against herpes viruses, including acyclovir-resistant strains. Marketed in an ophthalmic preparatio
Types of Ecosystem Basically ecosystems are of two types : terrestrial and aquatic. If you travel from plains to the mountains in the Himalayas, you notice significant changes
PHOTOTHERAPHY AND EXCHANGE TRANSFUSION: This section will enable you to acquire skills related to phototherapy and exchange transfusion. You will also review the indication
Halophytes are plants that live in moist soils with high salt concentrations. Despite being surrounded my water, halophytes are often referred to as "salty desert" plants. Explain
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