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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. Is reproduction in sponges asexual or sexual? Reproduction in sponges can be asexual by budding, fragmentation or gemmation (regeneration) or sexual with larval stage a cili
What are two characteristics that make synovial joints unique and different from other joints?
Cytoplasmic Matrix ( = cytosol or Hyaloplasm ) This is the actual protoplasmic part of the cytoplasm, containing dissolved proteins, electrolytes, glucose, etc. And forming
Animal Tissue A tissue is a group of cells that are similar in structure, origin and function. Tissue word coined by Bichat (Father of Histology). Histology term
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Question 1 What is diabetes mellitus? Discuss briefly its pathogenesis. Explain how would you diagnose this disorder Question 2 Discuss the following Glucose tolerance
Retained foetal membranes The foetal membranes are normally expelled within 6to 12 hr after parturition in cows and buffaloes. If the foetal membranes are not voided even upto
The Peripheral membrane proteins are less strongly bound to the lipid bilayer than integral membrane proteins and can be readily erased through washing the membranes wi
E s o pha g e a l obstruction It is also known as choke. It may be acute or chronic and is characterized by inability to swallow, regurgitation and bloat. E t
Cryptococcosis An opportunistic infection, caused by Cryptococcus neoformans is affecting immunocompromised individuals mainly with impaired cell mediated immunity. The disease
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