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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.
Explain the History of Animal Taxonomy? The beginning of animal taxonomy was made by Aristotle (384-322 B.C.). He extensively studied about anatomy, embryology, habit and ecolo
Q. Guiding and overseeing actions of Consciousness? Guiding and overseeing actions: Consciousness connects brain and body states with external occurrences. In order to functio
What is the destination of the branchial clefts in humans? In humans the branchial clefts situated in the anterior region of the pharynx (also called as pharyngeal clefts) are
what is respiration
Why mosquito bites and it causes itching? A mosquito does not really bite you, of course. It sucks your blood. To help enable effective blood sucking, it firstly injects ant
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The hydrolysis of the disaccharide lactose (in milk) give up glucose and galactose. Thus galactose is also a major dietary sugar for humans. Glucose and Galactose are epimers which
Blastulation explain
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How Low Birth Weight cause Protein Energy Malnutrition? The beginning of PEM in children starts in US from the time of their birth. At least a third of the Indian children are
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