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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.
An alpha helix can be used to cross a membrane What property do you think is common to all transmembrane regions?
Q. Explain about Celiac Disease? Gluten-sensitive enteropathy or, as it is more commonly called, celiac disease, is an autoimmune inflammatory disease of the small intestine. I
what are the function of nucleus
Q. What is Sanitation in food service establishments? We start our study of this topic by first defining what is sanitation? A three-word definition of food sanitation
Problem of Potency of Blastema Cells The local cells are accountable for regeneration. Now you could ask which of the blastema cells differentiated into which type of limb ti
Q. Fats requirements during congestive cardiac failure? Fat: The quantity and quality of fat would be governed by the severity of hyper- lipidemia and adiposity. Emphasis, as
discribe tha bantham and hookers systeam of classification
(a) What carbohydrates does a plant make from glucose? (b) Which of these carbohydrates is transported round the plant? (c) Which carbohydrate is the main s
Class Holothuroidea Body cucumber-such as; no arms; no spines; no pedicellariae; ossicles minute and embedded in muscular wall; anus present; tube feet along with suckers; am
Define Structural Elements - Biological Functions of Proteins? Structural proteins are fibrous proteins. The well known of the fibrous proteins are possibly the keratins, which
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