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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 Le Compte Operation-REV Procedure ? This is an alternative type of repair for TGA, VSD and left ventricular outflow obstruction (LVOTQ). In this operation an extrinsic
The dynamic response of the building to earthquake ground motion is the most important cause of damages to the building that are induced by earthquake. Failure of the ground and so
Cardiac surgical intervention has an increasingly important role in the treatment of intracardiac complications of endocarditis. Retrospective data suggest that mortality is unacce
protozoa and metazoa
What''s the classification of simple protein?
Define Flow Phase in Physiological Response to injury? It is characterized by hyper metabolism, increased cardiac output, increased urinary nitrogen losses, altered glucose met
By-Products from Sugar Industry India is one of the important sugarcane (Saccharum officinarum) growing countries of the world. Five main by-products are available from the su
Foscarnet (Foscavir) Foscarnet is an alternative to ganciclovir and valganciclovir for treatment of CMV infection. It is approved for use in CMV retinitis, including progress
Aerobic and Anaerobic Exercises Generally, there are two types of exercises: - Aerobic - Anaerobic Aerobic exercises are those in which the patient spends calories fro
What are the protective structures of the central nervous system present in vertebrates? In vertebrates the brain and the spinal cord are protected by membranes, the meninges,
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