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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.
Q. How many are the well-known amino acids that form proteins in living beings? There are twenty different known amino acids that form proteins related to the genetic code of t
What is the problem that the theory of evolution and its rival theories try to solve? The problem that the theory of evolution, or simply evolution, and its rival theories try
If a cell were placed in a hypertonic solution what could it do to protect itself?
Is crossing over important for the diversity of biological evolution? The Sexual reproduction and the recombination of linked genes (crossing over) are, along with mutations, t
ONSE T OF PUBERTY IN MALE Puberty is the period when reproductive organs become functional. It is attained at the age of 13-16 yrs. It is stimulated by testasteron. I
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Define the Interaction of Vitamin C with other Nutrients? Having gone through the discussion above it must be evident to you that nutrients are interdependent and are related t
Q. Show the Use of Incineration for sterilization? This is an excellent method for rapidly destroying materials such as soiled dressings, animal carcasses, bedding and patholog
What is Dip Stick Test It is a rapid method of detection of Ketone bodies which you can perform easily. Plastic strips impregnated with a buffered mixture of sodium nitropru
What is meant by encystment
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