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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.
Explain about the Alzheimer's Disease? Named after the German neurologist who first described it, Alzheimer's disease is the most common cause of progressive dementia, due to t
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Please answer the following three questions on Sequence Z: Metadata The GO Ontology is a very widely-used resource in the bioinformatics community as a tool to annotate
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Binding of Pigments, synthetic dye In addition to water, lipids and volatile flavours, food proteins can bind a number of other substances by weak interactions or
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