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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.
briefly desribe the eggs and follicles in rabbit
Vitality and Vigour - Qualitative Characters Vitality is related to the condition of a plant and its capacity to complete its life cycle, while vigor refers more specifically
Define Manganese Metabolism - Micro Minerals? Intestinal absorption of Mil occurs throughout the length of the small intestine although the exact mechanism of absorption is not
how does the hypothalamus begin puberty
Classification of plants and animals
In vivo imaging in psychiatry To illustrate the ingenious applications to which in vivo imaging can be put, consider the use of PET in the study of hallucinations by Frith and
OBJECTION OF CELL THEORY (REASONS OF DISCARTION) (i) Living organism are composed of various types of cells and their product but members of monera & protista don't have
Which of the following properties of dsDNA is imprtant for DNA purification? A. Hydrophilic B. Positively charged phosphate backbone C. Can only bind to divalent cations
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Genetic engineering has been successfully used for producing: 1. Transgenic mice for testing safety of polio vaccine before use in humans 2. transgenic models for studying ne
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