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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 are cells with a delimited nucleus called ? What are the main elements of the nucleus? Cells with delimited nucleus are known as eukaryotic cells. Organisms composed of on
The Accident or Incident Theory - Accident Causation Peterson when reiterating the significance of human factors added such factors as ergonomic traps, the decision to err and
excretory organs of agama lizard
Define the Community ecology of disease? Lyme disease is a debilitating infectious disease which has emerged in North America in the last two decades in the landscape context o
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Counseling children Assess the child's stage of development. Adjust counseling for a child's dependency needs, lack of experience and the development tasks faced by him
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