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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 blood enzymes? Enzymes are proteins that take out chemical reactions (as opposed to structural enzymes). Most of the detectable enzymes in the blood come from the seve
Circulation: If central pulses (femoral in infants and carotid in children) are not palpable, begin chest compression without losing any time. In young infants, encircle
Explain the Alkaline Copper Reduction Method? Since alkaline copper reduction methods are by far the most commonly used methods for blood glucose estimation, let us look at the
What is covalent bonds? Covalent Bonds : Covalent bonds form when atoms share electrons in order to become more stable. Instead of gaining electrons or losing electrons enti
Explain Transfer of Culture from One Liquid Media to another Liquid Media? 1. Inoculating loop is to be held in the right hand. It is sterilized by incineration in the inner bl
Q. Explain about Glycemic Index? Although the use of exchange lists is still popular for planning diabetic diets, it has been realized in recent years that in exchange lists th
Explain about the Amino Acids and Proteins? We shall now study the properties of amino acids which we know are the building blocks of proteins. In this practical, we shall car
List the requirements of implant materials. a) Biologically compatibility: an ideal implant material will elicit mainly physiological reactions within the surrounding tissues (
Determine the Principles of BCC BCC should be integrated with program goals from the starting. BCC is a necessary part of diabetes prevention, care and support programs, and
TER A T OGEN S - These are chemicals or drugs causing malformed foetus . The production of monsters or malformed foetus is called tertogeny or teratogenesis . Th
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