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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 about the Glycemic Index (GI)? In the previous sections, we have studied that some carbohydrates are rapidly digested and absorbed, some are digested slowly while some
comparitive chart on different types of respiration obserbed in different type of respiration organ of respiration , types of respiration,energy obtained , by product formed
Porcine rotavirus Piglet diarrhoea and mortality are gaining importance and the viral agent which is highly incriminated in such episodes is porcine rotavirus. The clinical featur
Define Supplementation for prevention of vitamin A deficiency? Administration of large doses of vitamin A to children at risk has been the most popular approach to control nutr
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I stored a few of my things from April to September this year. When I wanted to unpack the boxes, I found hundreds of round, small, black things. They look like they might be snail
Explain the Microscope? Microscope is a powerful and crucial basic tool in the field of microbiology. Microbiology, as we have already studied in our theory Course, is the scie
Q. Explain Injection Rate and Volume? This is best achieved by injecting directly into the ventricular chamber. Midcavitary position of the catheter ensures that there is no ve
define the pattern of cleavage i all aspects
Q. What is the basic importance of water for enzymatic activity? Ans. Biological catalysts, Enzymes, relay on water to reach their substrates and attach to them. There is
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