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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.
Describe Briefly about the Type 1 Diabetes? In people with normal weight, Type1 Diabetes is not a major cause of death but it is an important contributor to morbidity and morta
how would one determine that the wild type phenotype of a certain trait is due to the action of one or two genes?
Q. Dietary management of dyspepsia? Keeping in mind the etiology, symptoms and complications of dyspepsia it must be clear that treatment and management of [his disorder does n
Water Water usually forms about 50% to90% part of living protoplasm. Life upon earth originated in the ocean and the conditions of that aqueous primeval environment have been r
UTERUS (WOMB) - Large, pyriform, highly elastic. Development of embryo takes place in it. It is located above and behind the urinnary bladder. Attached to body wall by me
Q. Tools used in Taxonomy? Before you plan for a field trip decide the tools and equipment required. Certain, equipments are necessary for plant collection. A collecting pick i
What are examples of nematodes? Ascaris, hookworm and filaria, all parasites of humans, are instance of nematodes (also called as roundworms).
life cycle of plathyhelmenthes
Are fruits always the flesh part of the "fruits"? Is the edible part of the onion a fruit? In some so-called fruits the actual fruit is not the flesh part. For instance, the fl
Q. What is tuberculosis? How is the disease transmitted? Is there treatment for tuberculosis? The Tuberculosis is a disease caused by the Mycobacterium tuberculosis bacteria wh
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