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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. What do you mean by ST-Segment in Exercise Induced PVC? Ans. Over the years it has been believed that repolarization in ventricular ectopic beats had no diagnostic si
What is eukaryotic cell?
How different are pteridophytes from bryophytes regarding substance transport? Pteridophytes are tracheophyte (vascular) plants, i.e., they have tissues specialized in conduct
Q. What does the formula DPD = SF - TP signify? DPD is the short form of diffusion pressure deficit, SF (suction force) is the vacuolar osmotic pressure and TP is the turgor pr
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What was the Oral Status of the Patient It is imperative that the patient carry out a strict oral hygiene regimen as dental plaque is one of the main factors that leads to impl
Define essentiality of Sulphur for growth of micro-organism? Sulphur is a part of some amino acids, some carbohydrates, biotin and thiamine. It is obtained either as elemental
Limitations of Ecological Pyramids The pyramid of energy is a significant improvement over the previous two types of ecological pyramids, yet all of them overlook one or anot
The nutrition care process acknowledges the common dimensions of practice by the following: Defining a common language that allows nutrition practice to be more measurable,
Explain the eligibility of Cardiac rehabilitation ? Cardiac rehabilitation services are prescribed for patients who: 1) Have had a myocardial infarction. 2) Have had coronary b
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