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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 characteristics of flagellata class ?
Gastrulation The end of cleavage of the unicellular zygote results in the creation of multicellular blastula, which may be a solid structure with no a cavity (stereoblastula)
1. A pure-breeding black, smooth guinea pig was mated to a pure-breeding white, rough female. They produced several litters, and eventually, five males and twenty females resulted
What is d excretory organ of the agama lizard
RESTRAINING: Several treatment alternatives exist for intervention in assaultive behaviour. Medication, physical restraints and seclusion rooms may be used separately or
Metals and Alloys in alloplastic implant materials Most of the dental implant systems are made of metals or their alloys. Currently commercially pure titanium and its alloy Ti-
Protraction from HIV Under the following conditions HIV is not transmitted 1) The secretions and body fluids like Saliva, Tears, Sweat, Faeces, and Urine have negligible HIV c
What er the Parafunctional Habits Parafunctional Habits like bruxism and clenching create mechanical and biological problems due to overloading and are considered to be one of
EXCRETIO N IN COCKROACH- Animal is uricotelic. Excretory organs are malphighian tubules. 60-150 in 6-8 groups. In each group 10-15. Yellow coloured, blind tube, open in gut
why they are called protozoa
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