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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.
Autogamy - Patterns of Sexual Reproduction It is known to take place in many ciliate protozoans including Paramecium. Autogamy involves same nuclear behavior like in conjugati
Explain the Physical Methods to Control Microorganisms? The physical methods to control microorganisms involve heat, filtration or radiations. Figure illustrates these methods.
Oligosaccharides are short chains of monosaccharides linked together by glycosidic bonds. In case of oligosaccharides linked to proteins (glycoproteins) or lipids (glycolipids) o
Acute Rheumatic Fever Rheumatic fever is an inflammatory disease that usually follows infection of upper respiratory tract with group A beta hemolytic streptococci. It is c
THYROID GLAND - It develops from the endoderm of the embryo. Th e thyroid gland is the largest endocrine gland located anterior to the thyroid cartilage of the larynx
what are the function of nucleus
Illustrate the techniques of neurology A long-standing technique in neurology has been observed the effects on behaviour of lesions (cutting) or ablation (removal) of nerve tis
PRINCIPLES OF CARDIOPULMONARY BYPASS MECHANISM (CPB) What is CPB? It is a technique by which the mechanical function of the heart and respiratory function of the lungs
Simple sedimentation: The process of removal of suspended, colloidal impurities by allowing water to stand undisturbed in big tanks about 5m deep. Most of the suspended particl
Urine Normal urine is clear, yellow in colour, slightly acidic. Urine consists of 96% water and 4% solids like urea, uric acid, urates, chlorides, phosphates, oxalates, sulphat
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