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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.
Determine Energy Requirements for Athletes? You are familiar with the fact that body needs' energy to maintain body temperature, to meet metabolic demands, maintain electrolyte
Ecological isolation is based on the fact that population shows preference to one habitat over the other. This extensive forests become barriers to the dispersal of organims living
Cholesterol, from stereos (solid) and the Greek chole- (bile) followed by the chemical suffix -ol for an alcohol is an organic chemical substance classified as a waxy steroid of fa
Classification of zoonoses More than 300 zoonoses of diverse etiologies are recognized. Thus, a very large number of zoonoses call for classification, especially for teaching
Energy demand for Active or moderately active lifestyles? These people have occupations that are not strenuous in terms of energy demands, but involve more energy expenditure t
Q. Why is the AIDS treatment often done with a drug cocktail? The treatment of obtain immune deficiency syndrome is often done with one or more anti-retroviral drugs of differe
What do you understand by Metanephridia? An excretory-osmoregulatory organ comprising a ciliated funnel, nephrostome, connected to tubules that lead to the external nephridiopo
Q. Can you explain Protease inhibitors? Ans. Protease inhibitors are the compounds which are found to some extent in cereal grains such as oats, wheat, barley and mai
ADAP T A TIO N - Characters that make an organism to adjust well and suited to its way of life. Variation occur in living organism due to change in environment. Th
Q. Carbohydrates requirement in chronic diarrhoea? Adequate amount of carbohydrates i. e 60-65% of the total energy should be given to the patient. Easily assimilated carbohydr
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