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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 Natural Adulteration - Types of Adulteration? These are the chemicals, organic compounds or radicals which are naturally present in the food and are harmful to the healt
Q. Etiologic factor of ulcerative colitis? No single etiologic factor has been identified although genetic auto-immune factors are thought to be involved. Although exacerbation
Mechanism of Stomatal Opening It has been known for over a century that stomata open because of reversible turgor changes in the guard cells. Stomata open when turgor in the g
Nutrition
Genomic blot is the type of Southern blot particularly used to analyze the mixture of DNA fragments derived from total genomic DNA. Because the genomic DNA is quite complicated, w
Q. What is the importance of pre procedural rinse? Patients' use of an anti-microbial mouthwash of 0.12% chlorhexidine gluconate solution for 30 seconds prior to intra-oral pro
Assignment on CAM
summarise the comparative anatomy of the digestive system of the invertebrate and the vertebrate.
Community Change Ecosystems are dynamic entities in which a number of events take place. Associated with the biotic communities of the ecosystem are some changes, which may be
Which of the following is true for exocytosis? A. During exocytosis in skeletal muscle cells, there will be release of calcium ions from intracellular vesicles in the sarcoplas
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