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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.
Planning the Nursing Care Provide bed rest Administer antibiotics as advised Prevent infection Implementation of Nursing Care Provide Bed Rest Sin
Explain the Failure to Management of Ledge Apical transportation or perforation: movement of the physiological foramen to a new iatrogenic location. Three types of apical tr
Q. Define X-Ray Chest and Coronary Angiography? X-Ray Chest It shows cardiomegaly with left ventricle (LV) and left atrium (LA) enlargement. There may be signs of pulmona
FUNCTION S OF PROTEIN Proteins from the colloidal complex of the protoplasm and its organelles. Most Abundant Protein in Organic World is RUBISCO or Ribulose biphosp
EVIDENCES OF EVOLUTION - The evidences of organic evolution derived from many lines of study indicate that present day forms have arisen by gradual changes from pre existing fo
What is the significance of Rhynchocoel? The unique body cavity of the Nemertean worms, which comprise the retractable proboscis. There is some debate on whether this is a true
Explain about the Pickling - methods of food processing? Pickling was widely used to preserve meats, fruits and vegetables in the past, but today it is used almost exclusively
what are the general characteristicss of porifera
DEET DEET is available in the US in many formulations with concentrations of 5%-40% and 100%; higher concentrations present complete protection for a longer period of time, bu
Explain the Energy requirement in Postoperative Nutritional Care? Adequate calorie intake is critical for successful outcome of surgery and should be provided in the form of ca
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