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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 atom? Atoms are the smallest component of matter that determine its unique chemical and physical properties. They are composed of negatively charged electrons, positive
Q. What are instances of nematodes? Ascaris, filaria and hookworm, all parasites of humans, are instance of nematodes also known as roundworms. Q. Are nematodes exclusively
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What is the main function of chloroplasts? Ans) Chloroplasts are organelles represent in the cytoplasm of plant and algae cells. Similarly mitochondria, chloroplasts have two bo
Complete the sentence by choosing one of the given biological terms. If an ulcer continues and ultimately erodes all the way through the wall of stomach or duodenum, condition
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Define Conservation genetics and hybridization? Is the genetic integrity of European wolves threatened by hybridization along with free-ranging dogs? To ascertain the extent of
Explain Ventilation, Chest Compressions? Even when the first three defibrillation attempts fail, the best chance of resuscitation still lies in successful defibrillation. Hence
A dialogue and cartoon between haemoglobin and chlorophyll
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