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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.
WORL D CONSERVATION STRATEGY PROPOSES THE FOLLOWING STEPS - 1. Preservation of critical habitats. 2. Protection of wild life in situ (in natural habitats) as we
ECONOMI C IMPORTANCE OF WILD LIFE - (i) Plants - Produce food. Provide Timber, paper, gums, drugs, pigments, fibres, rubber, oils, condiments & fuel. Release O
Describe New Cardio-vascular Risk Factors ? The major risk factors contributing to the development of atherosclerotic plaques in blood vessels have been known for many years. H
Enumerate the term - Clinical neuroscience Clinical neuroscience concerns the study of clinical populations both to well understand neuroanatomy and to test psychological theor
Regarding the article "One Hundred Tests" which of the following is a false statement? A. Genetic tests like the one developed by Counsyl can examine the multilevel genetic net
OESOPHAGU S - Gullet opens in oesophagus. First organ of alimentary canal. After piercing diaphragm, it form stomach in abdominal cavity. No digestion in it. Food mov
#question.Consider a cell that has 10 homologous pairs of chromosomes and is just starting to go through meiosis. After meiosis is complete, there will be 40 cells that each contai
Would you expect the muscle fibers of the tongue to be striated or smooth? What about the muscle of the diaphragm/ Explain your answer.
Select all that are true/correct: Stable atoms have no vacancies in their outer shell. Hydrogen is more stable than carbon Helium is more stable than carbon Helium is more stable t
Define Changes in Physical Development in infants? It seems that all infants do is to sleep and hardly Seed. In spite of this observation, a well-fed and cased infant doubles i
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