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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.
A cell in G1 of interphase has 12 chromosomes. How many chromosomes and DNA molecules will be found per cell when this original cell progresses to the G2?
Describe the Capillarity Theory in respect of ascent of water in plants. Name the tissue included. Determine the initiation of muscle contraction. What is the role of Sarcoplas
Q. What are the functional differences between neurons and glial cells? Neurons and Glial cells are the cells that form the nervous system. Neurons are cells that have the func
introduction,types,uses and characteristics of a good timber?
Define Precautions for estimation of vitamin c in a solution? 1. Rinse all glassware with 3% metaphosphoric acid before you begin your practical and subsequently each time you
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CARDIO PULMONARY RESUSCITATION: Cessation of cardiac activity is determined by inability to palpate a central pulse, unresponsiveness and Gnea. CPR consists of measures for
Tail - Structure of the Sperm The tail or flagellum is the longest part of the sperm. By its movement it causes the sperm to swim with the head forward. It consists of a thin
Evolution of vertebrates and invertebrates nervous system
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