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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.
Q. What are the main risk factors for hypertension? The major risks factors for hypertension are tobacco smoking, stress, obesity, sedentary lifestyle and alcoholism.
Determine the term - Neuropsychological approach The neuropsychological approach relies on the use of tests in which poor performance may indicate either focal (localised) or d
Stabilized forms of natural colourants The mimicking of the native environment in which a natural colour exists is just one way of producing a stabilized form. In this case, th
Q. What are the main prophylactic measures against schistosomiasis? The major measures to prevent schistosomiasis are information for infected individuals to look for treatment
Define Role of Food Industry? Publications of major trade associations; industry standards; structure of the food industry; international food corporations; information on alli
Determine the Basic Seven Food Groups - Nutritions? These basic seven food groups are: 1) Cereals and cereal products 2) Pulses (also meat and meat products) 3) Milk and m
about how humans survive and reproduce currently. In your journal, write down three adaptations that help humans have differential survivability, and three adaptations that help hu
Bio-medical waste management Persons coming in contact with bio-medical waste are prone to get injury from sharps likes needles. Injury due to sharps leads to life threatening
how twins are produced and why
how to identify in contaminants and aldultrants in pure ingredients
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