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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.
define inflorescence and explain in detail about it''s types
What is karyotype? Name the karyotype is given to the set of chromosomes of an individual, generally when visualized and identified under the microscope. The visualization in g
Differance between Descending Thoracic or Abdominal Aneurysm ? Descending Thoracic Aortic and Thoraco-Abdominal Aneurysm : The approach is through n left postero-lat
If child has same gel positioning as father, would it be likely for the child to get cancer if the father has it? For the children without the mutation, what is the risk of getting
Essential Concepts of Endosseous healing 1) Osteoblast is the prime bone matrix synthesizing cell. Like most secretory cells, osteoblasts are polarized cells, and the direction
What happens to a denatured enzyme regarding its functionality? How can that result be explained with the help of the lock and key model? According to the lock and key model th
what happens to your total peripheral resistance when you go from a warm room to cool outside air
why is it necessary to grind the food samples before testing?
Q. What are the major human diseases caused by fungi? The main human diseases caused by fungi are paracoccidioidomycosis, histoplasmosis, blastomycosis, coccidioidomycosis, or
Using Autonomous Transactions The transaction is a sequence of SQL statements that does a logical unit of work. Frequently, one transaction starts the other. In several appl
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