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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.
Selective Destruction - Wildlife The selective destruction of one species of an existing fauna can produce equally unfortunate results. The perfect demonstration of unexpected
Name the source gland of leutinising hormone (LH). State the other hormone along with which it acts on its target cells/organ. Give their two functions.
What is digestion? Digestion is the breaking down of larger organic molecules obtained from the diet, e.g. carbohydrates, fats, proteins, into smaller ones, as glucose, fatty a
Q. Concerning the thickness of their walls how different are the heart chambers? The ventricle walls are thicker than the atrium walls since ventricles are structures responsib
What are the excretory organs in protozoa.
Through the year of 1960s, the gene was clearly explained as the region of DNA which gives increase to a single polypeptide or to a one RNA for genes whose final product is RNA not
What are secondary roots? In origin how secondary roots differentiate from shoots? Secondary roots are ramifications of the primary (major) root. The secondary roots emerge fro
Iodine Iodine functions are essential components of the thyroid hormones thyroxine (T 4) and triiodothyronine (T3), which regulate the rate of energy metabolism. Absorbed iodi
Combustion of fossil fuels and wood in industries, automobiles, aircrafts, railways, thermal plant kitchens etc., agricultural operations and industrial processing are major source
Explain the Resorbable Barriers - Root Perforation It is successfully control internal bleeding through cronal access It is intended to forced in the bone, not left wi
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