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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 mitral stenosis? Most common cause of mitral stenosis is rheumatic fever. Nearly 30 per cent of patients with rheumatic fever may go on to develop pure mitral valve
what are the two main subdivisions of the phylum chordata
Starch gelatinization Undamaged starch granules are insoluble in cold water but can imbibe water reversibly i.e. they can swell slightly and then return to their original siz
hi there,i would like u to help me with understanding Hutchinson phyletic dieta
Echocardiography: LV hypertrophy can be identified using M-Mode and 2 D imaging. Indications of myocardial ischemic states and systolic functions can be assessed by studying region
Nutrition Assessment The nutritional care process, you would realize, begins with nutritional assessment. Nutrition assessment is the evaluation of an individual's nutrit
A 19 year old model for Glamour magazine tripped over an extension cord causing injury to her epidermis. She is afraid the injury will leave a scar. Based on your knowledge of rege
Q. How does the pulmonary ventilation affect the carbon dioxide concentration in blood? What happens to the carbon dioxide concentration and to the blood pH when the respiratory fr
Fidelity - Synthetic Characters Fidelity refers to the degree to which a species is restricted in its occurrence to a particular kind of community. The species with low fideli
Large Quantity of energy is released during an earthquake with a combination of radiated elastic strain seismic waves frictional, heating of the fault surface and cracking of the r
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