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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.
Discuss the approach of molecular taxonomy.
Limitations of Panoramic X-Ray There are certain limitations to panoramic Xrays that you have to be awareof: The amount of magnification Fine details of structures arou
ORGNELS WITH SINGLE WALL
Goat and sheep M. mycoides subsp. capri is the cause of caprine pleuropneumonia, a serious malady of goats. The disease is prevalent in certain parts of this country. The mort
#question.why are active cells small .
What is a population? The population is a set of individuals of the same species found in a given place in a given time.
Endocytosis is the uptake of extracellular macromolecules across the plasma membrane into the cell. The objects to be ingested is progressively enclosed by a small portion of
Why would the O-H bond in C=O-H and the OH bonding with a water molecule be considered weak?
Q. Show the Principles of Prevention of diabetes mellitus? Principles of primary prevention of diabetes are: Creating awareness of diabetes mellitus Identifying Pre-D
Explain Brown fat and white adipose tissue - energy balance? There are two kinds of adipose tissue - Brown Fat is located around the shoulder blades and kidneys, constituting 1
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