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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.
i need examples of animals that belongs to vertevrate pisces
green gland is excretory organ of which orthopodic phylem
Biotechnological applications of enzymes Although enzymes have been used in certain industrial processes for centuries, their precise role or even their identity was not known
What are the subkingdoms into which the plant kingdom is divided? The kingdom Plantae is separated into two big subkingdoms: the bryophytes and the tracheophytes (pteridophytes
Q. Does the chemical reaction to unite amino acids liberate or incorporate atoms? What are the chemical entities liberated or incorporated in this reaction? The union of amin
OPEN HEART SURGERY : When patient is connected lo cardio pulmonary bypass for an operative procedure, it is considered to be open-heart operation. In a routine coronary artery b
Explain the Equilibrium Dialysis? Equilibrium dialysis is a useful technique for studying the binding of a small uncharged solute species (a ligand) to a macromolecule. The mac
Define Cyanmethaemoglobin Standard - Haemoglobin Content in Blood? Certified standard haemoglobin solution may be obtained from certified or reputed laboratory supply firms. St
Risk Factor Modification : Even after CABG, patients are at risk of progression of native coronary artery disease and development of lesions in the conduits. Modification of
mode of nutrition in follow animal lizard,bird,grasshopper,rat
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