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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.
GIRDLES - (i ) PECTORAL GIRDLE - 4 bones. It is located on posterolateral part of upper region of the throax. It consists of scapula & clavicle. Scapula is placed
In the short term what will occur to the levels above and below a population of secondary consumers of a numeric pyramid if a large number of individuals from this population dies?
Explain about the Functional Properties of Proteins? It may be clear by now that functionality (as implied to food ingredients) refers to 'any property aside from the nutrition
PHYLUM ARTHROPODA Definition and Introduction Bilateral and protostomial eucoelomate eumetazoa with metamerically segmented and each segment bearing a pair of join
1. Describe what effects epigenetic modifications such as methylation and acetylation can have in eukaryotic cells, and how these modifications are added or removed from chromatin.
How many kidney in man?
Q. What are some examples of interspecific competition? Instance of interspecific competition are the dispute among worms, vultures, flies and microorganisms for carrion and th
wrt spoilage
The oxidation of glucose produces NADH that is oxidized by the electron transport chain. What compound is the terminal electron acceptor of the electrons carried by NADH? -O2
Describe Lifetime Risk Estimation ? Traditional statistical and epidemiological methods of estimating long-term risks do not accurately reflect population burden of disease. Th
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