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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.
Write the meaning of balanced diet. 1) Balanced Diet means diet which contains a variety of foods in such quantities and proportions that the need for energy, proteins, vitami
LIPIDS Term given by Bloor. Lipids do not form polymers in nature except cutin (polymere of fatty acids). Most lipids are formed of fatty acids & alcohol. Ester bo
Name that gelatin-like substance which is prepared from different species of red algae growing in Asiatic waters. Prepared product appears in the form of cakes, coarse granules and
Direction of flow--either towards or away from the transducer (positive or negative Doppler shifts). Timing-instantaneous velocity and direction of flow throughout the various
Diabetes mellitm This anabolic hormone exerts its action on key glycolytic enzymes thus leading to the conversion of glucose to pyruvate as explained under the regulation
human skeleton
Inhibition Model - Models of Succession According to this model, succession is very heterogenous because the development at any one site depends on who gets there first. Speci
What is an example of negative feeback of the homeostatic regulation? Negative feedback happens when the response to a given action makes an effect that inhibits that action. F
How is the nervous system of molluscs organized? Molluscs have well-developed sensory structures. It is established that cephalopods, such as squid and octopus, have eyes with
Louping ill This is an infectious encephalomyelitis of sheep and man occurring during spring and summer when the vectors like ticks are active. It is reported from British Isl
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