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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.
SOMATOFORM DISORDERS: The term 'Neurosis' was first introduced in 1769 by William Cullen (1710- 1790). Till later part of nineteenth century, anxiety disorders were conspicu
Sucrose is a non-reducing Sugar while Maltose and Lactose are reducing due to the presence of free Aldehydic Functional Group in them. In SUgar the Aldehydic Group of both Glucose
Diuretic Therapy One of the aims of treatment of congestive heart failure is directed toward controlling salt and water retention (central or peripheral edema). Diuretics provid
Define Vigorous or vigorously active lifestyles - physical activity? These people engage regularly in strenuous work or in strenuous leisure activities for several hours. Examp
Which type of defense cell do bacteria attract and cause to multiply during the inflammation process? What is the name given to the waste material produced by the inflammation trig
How Viruses Multiply? Obligatory parasitism - Outside cells viruses are nonliving, inactive particles but after entering into live cells these multiply fast by replication
Define Soyabean and sesame proteins - mutual supplementation of Protein? Soyabean and sesame proteins: Soyabean proteins are good sources of lysine but are deficient in methion
Q. What is the difference between lungs and gills? Lungs and Gills are richly vascularized organs that serve for gas exchange between the environment and the circulatory system
How did Darwin reach the principle of natural selection from the observation of differences among individuals of the same species? The Darwin recognized that in a same species
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