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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.
binomial nomenclature is not applicable to
Results : In the present day, surgical mortality with or without CABG is repture to be 5-7 per cent. The late survival is 85 per cent, 75 per cent and 65 per cent at 1, 3 and 5
Q. Angiographic Findings and Interpretation? Pulmonary angiography is useful in the following clinical scenarios: 1) Pulmonary artery stenosis 2) Pulmonary arteriovenous
why would it be difficult to determine accurate values for the four variables in the Lotka-Volterra predator-prey model (a, rprey, m, b) for animals in the real world?
Organic Tricuspid Regurgitation Here the valve is anatomically abnormal. Etiology of Organic tricuspid regurgitation: 1) Rheumatic 2) Non rheumatic 1. Infective e
Johne’s disease The disease, discovered by Heinrich A. Johne, a German bacteriologist and veterinarian, in 1905, is caused by a bacterium named Mycobacterium avium subspecies p
Define the Concepts of Lipids? You have studied the classification of lipids in your theory lesson. Lipids, you learnt, are classified as simple, compound or derived lipids on
Q. Explain Spoilage of pasteurized milk? You would recall that pasteurization is one of the techniques to control and destroy the pathogenic, as well as, .spoilage bacteria i
Write on spoilage of food products by fungi,nutrition,condition for growth,consequencies and prevention.
Health Education to Hospitalised Child You have unique opportunity for teaching and reinforcing good hygienic care while the child is hospitalised. Clean hair, nails, clothin
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