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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.
how are the listed from largest group to smallest group
whatis a prokaryotic cell? explain its structure and description with images
Q. What are hormones? Hormones are substances collected by the circulation and secreted by the endocrine glands that act to produce effects upon specific tissues and organs and
FUNCTION S - (a) It is antagonistic to glucagon. Insulin decreases the level of glucose in the blood. It acts by increasing the rate at which glucose is transported out of the
Criteria of Essentiality Amon and Stout as early as 1939, suggested certain criteria that an element must fulfil in order to be classified as essential. These criteria are lis
what is diffusion
Determine the Diet chart for Adolescents? For adolescents, other than points covered above, there are two more important points of considerations. Inanition Fad diets
ARE VIRUSES CELLULAR ORGANISMS?
Explain Vitamins requirement during thyphoid Vitamins : Vitamins which need to be emphasized include B complex, considering the increase in the energy requirement and a decr
Cidofovir (Vistide) IV cidofovir given once weekly for 2 weeks and then once every 2 weeks for maintenance therapy can delay progression of CMV retinitis in patients with AIDS
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