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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.
Q. What is severity of the oesophagitis? The severity of the oesophagitis resulting from oesophageal reflux is determined by the content of gastric reflux mucosal resistance,
Q. What is the cause of the immunodeficiency presented by AIDS patients? The cause of the immunodeficiency obtainable by AIDS patients is the destruction of CD4 T helper lympho
Q. Filming Projection and Technique? Biplane ventriculography is preferred over single plane ventriculography because it gives more information without additional risk to the p
Determine Causes of Malnutrition? You may recall studying about the causes of malnutrition earlier. The causes of malnutrition are classified as immediate (individual level), u
notes on butterfly
details of these blood groups
Q. Write the meaning of DSME? Generally, it is observed that soon after being diagnosed with diabetes, the patient gets worried or get depressed. This is a stage where the pati
Admission Information The physician and nurses are the primary source of facts concerning the purpose of therapeutic plan and expected outcome of hospitalization. The informa
Spermatophores Many non-chordates do not release free sperms during copulation. They have a mechanism to bundle and enclose a number of sperms in a sheath usually made of gela
Recurrent Type In this type, euspory (seen in normal cases) is replaced by aneuspory (Diplospory) because of irregular meiosis. When the spore mother ceIl functions directly
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