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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 the Concept of Health Care? We are aware of the fact that health is a fundamental human right. Thus, it becomes imperative for the State to assume responsibility for the
In his experiments, Mendel noted that when two traits are involved in a genetic cross, they are inherited independently of each other. The reason for this is that A. genes on the s
- Highlight the issues related to diabetes mellitus. - Apply different types of counselling skills to counsel patient with Diabetes and their family members - Develop pre-req
Explain the Evaluation of the Perimplant Marginal Tissues This is to be followed by Evaluation of the Perimplant Marginal Tissues: This includes the following parameters: 1)
Hazards Is an event whether natural or man-made that has potential for causing injury, loss of life and damage to the property or the environment. It can be grouped into two broad
how the optical rotaion occurs in glucose and ribose?
Which of the below is usually referred to as "master gland" because it regulates so many body activities? Is it: a) Pituitary gland b) Thyroid gland c) Adrenal gland d
Diagnosis Clinical signs: In most of the cases in initial stages like bacterial infections there is leucocytosis with neutrophilia, which at later stages of the disease may c
Laws Governing Ocular Movements Hering's Law of Equal Innervation states that equal and simultaneous innervation flows from the brain to yoke muscles in all binocular movement
information on some heterotrophic plants
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