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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.
Explain about the Absorbed Moisture - water found in food? It is the moisture that has passed through cell walls and entered the cytoplasm of the cell. It is this form of water
i have a question on how to proceed the fomular of delete the gene on the human body.
Is pathology a subspecialty of zoology or botany?
Would you expect the muscle fibers of the tongue to be striated or smooth? What about the muscle of the diaphragm/ Explain your answer.
HAIR Presence of hair is main feature of mammals, absent in whale fish. Soft hair in embryo of animals are lanugo. Study of hair is tricology . Part of hair which
Heat Production In the Homeotherms heat production must be elevated if the ambient temperature falls below the critical temperature. Although all metabolic processes result i
explain chemical changes during cleavage
green gland in prawn
History of Psychiatric Nursing: In 1873, Linda Richards, developed better nursing care in psychiatric hospitals, and organized nursing services and educational programmes in
Q. Need for insulin in management of Type 1 Diabetes Mellitus? Type 1 Diabetes Mellitus occurs when the body's immune system destroys beta cells. Beta cells produce insulin, a
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