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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.
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Define the Disorders due to the iodine deficiency? Mild goitre, i.e., a larger thyroid gland than normal. The mildest form of goitre ranges from those only detectable by to
How do antibody-based tests detect how HIV infection works? After the infection by the HIV the immune system starts the production of antibodies (primary immune response) again
what is sclerotic
R E GENER A TIO N - Natural ability of living being to replace worn out parts, to repair damaged parts, to regrow cost off organs & to reform entire body from a small piec
Importance of diversity
Domestic Effluents - Causes of Water Pollution Liquid waste produced daily in kitchen, bathroom and toilet are discharged directly or through canal, river or any other water b
Which of the following best defines the reasons why the sliding clamp is able to confer processivity on DNA polymerase and not DNA primase? A. The sliding clamp coats the templ
cells are the smallest structural units of the living matter and is capable of functioning independently.
In experimental studies, gene therapy has been shown to improve failing human myocardial function. The abnormal function of myocytes obtained from patients with dilated cardiomyop
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