Classic procedure- mitral valve replacement, Biology

Assignment Help:

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.

 


Related Discussions:- Classic procedure- mitral valve replacement

What is the elimination of the sliding clamp, Which of the following result...

Which of the following results from the elimination of the sliding clamp? A. DNA polymerase will no longer be processive and will fall off the double helix after synthesizing

Coxal glands, Coxal Glands There is a pair of coxal glands, in almost ...

Coxal Glands There is a pair of coxal glands, in almost all the segments in Onychophora (Peripatus). Developmentally; in every segment a hollow follicle or somite arises and i

Explain the importance of the auxin, a) How is the milk production regulate...

a) How is the milk production regulated by hormones in human female? Define. b) Explain the importance of the auxin / cytokinin ratio in plant tissue culture.

How many chambers does the fish heart have, Q. How many chambers does the f...

Q. How many chambers does the fish heart have? The fish heart is a tube made of two consecutive chambers such as one ventricle and one atrium.

Acute myocardial infarction with haemodynamic deterioration, Acute Myocardi...

Acute Myocardial Infarction with Haemodynamic Deterioration :  These patients may require urgent insertion of intra aortic balloon pump (IABP) followed by PTCA or surgery. 50 per

Protein case study, DK is a year old female who was born after a normal pre...

DK is a year old female who was born after a normal pregnancy and delivery.  At 17 months of age DK showed signs of speech delay, increased lethargy and vomiting up to four times p

Active or moderately active lifestyles - physical activity, Define Active o...

Define Active or moderately active Lifestyles - physical activity? These people have occupations that p-e not strenuous in terms of energy demands, but involve more energy expe

How different are fecundation in osteichthyes, How different are fecundatio...

How different are fecundation in osteichthyes and in chondrichthyes? In chondrichthyes fecundation is internal by means of copulation. In osteichthyes fecundation generally is

Biology Question, Why is VeggieTales such a consistently high-quality progr...

Why is VeggieTales such a consistently high-quality program?

Write Your Message!

Captcha
Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd