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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.
Q. Value of biodiversity? Today, there is widespread concern for conservation of wild animals and plants. One might wonder why there is so much concern about protecting other s
Diabetic foot are impaired blood supply to foot Diabetic foot are impaired blood supply to foot i.e. vasculopathy. This leads to ischaemia which in turn leads to delayed or non
What is Life threatening haemorrhage Life threatening haemorrhage has been reported when a drill perforates the sublingual region of the mandible and injures the sublingual arte
What is Rationale for Menu Planning? 'Menu', as we all know, is nothing but a list of dishes planned for preparation, and forms the very core of all activities in the food serv
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NON-EDIBLE AND OTHER MINOR OILSEED CAKES Besides the annually cultivated oilseed crops namely, groundnut, sesame, mustard, linseed, coconut, cotton, sunflower and safflower, I
Endodontic success - According to Strindberg 1956 the endodontic success is the postoperative clinical as well as radiographic satisfaction after a predetermined postoperative
All of the electron carrier in the electron transport chain interact according to their redox potentials. Every time whereas an electron transfers occurs, the accepting carrier ha
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In some protozoans, food is always ingested at the same place on cell surface, cytostome (cell mouth). Undigested food is removed at a cytoproct, or cell anus. All of this is simil
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