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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 are the typical vegetation and the typical fauna of the tropical forests? In the vegetation of the tropical forests broadleaf evergreen trees predominate. On the top of th
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Measures to control malaria infection: Malaria is a communicable disease caused by the female anopheles mosquito. a) Controlling mosquito population : Mosquito population can b
how temperature acts as limiting factor explain?
Explain therapeutic nutrition This necessitates dietitian's possessing a wide variety of skills. Beyond the technical knowledge and practical skills dietitians needs to have
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what is example of class,genus and species of platyhelminthes?
What is the meaning of Oedema? In some pathological conditions the body is in a positive water balance; that is the intake of fluids is greater than the excretion, and the pati
Define Immediate and Longer term Adjustment to Altitude Hypoxia? Arterial hypoxia precipitates the immediate physiological adjustments to altitude and process of acclimatizatio
A v i a n tuberculosis Tuberculosis in poultry has not remained a big threat in list of diseases due to commercialization of poultry business. It is a contagious chronic di
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