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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.
Advances in Mineral and Vitamin Nutrition of Livestock Even though, minerals and vitamins as nutrients are as essential as energy and protein, general negligence occurs primari
What is the phenomenon of apical dominance in plants? How can it be artificially eliminated? Apical dominance is the phenomenon by which high (over the positive range limit) au
Variation exhibited in shared traits present in a population is due to alleles of the shared genes. can be influenced by interactions of alleles of multiple genes. Can be influence
Determine about the microtubules The microtubules are hollow tubular structures formed by a special arrangement of two proteins called the alpha and beta tubulins. The microtu
Insulin Syringes Syringes for insulin are designed for standard U-100 insulin. 1 ml of insulin has 100 standard units of insulin. Syringe has markings in insulin units it helps
Black quarter Synonym: BlacklegBlack-quarter (BQ) is an acute infection but a non-contagious disease characterized by inflammation of skeletal and cardiac muscles, severe toxae
Define Mechanism for Copper Absorption? As in the case of other minerals, copper absorption appears to occur by two mechanisms: i) Saturable active mechanism, which operates
Define Interaction of Folate with Vitamin C? Vitamin C: Anaemia is observed in vitamin C deficient patients. Normochromic, normocytic or macrocytic or megaloblastic ana
Q. How can the visual deficiencies known as myopia and hypermetropia be optically explained? Myopia is the visual condition in which the images are formed previous to (in front
You are studying how proteins are targeted to the mitochondria. MIP1 is in the mitochondrial inner membrane, whereas MIP2 is targeted to the matrix. You are most interested in how
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