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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.
What are the indications of Cardiac Transplantation ? Indication : Patients in NYHA class IV with heart failure, refractory to medical management caused by end stage corona
Define Disadvantages of using yeast as a source of protein? 1. Less protein yield (45-60%) 2. Growth rate is low (1-3 h) 3. High nucleic acid content leading to the forma
Micro-organisms: The micro-organisms mixed up in aerobic absorption and their activities are the same as those found in nature. The organic compounds are oxidised to H
Q. Investigation of aortic regurgitation by Surgical Therapy? The recommendation for Aortic valve replacement is only for those patients with Severe AR. If patients with mild A
Why Diabetics patient should have Vegetables every day Diabetics should have vegetables every day. Fresh vegetables are to be preferred because they have less fats and salt. Da
Explain Membrane Filtration Technique? Another method used for determining the bacterial number is the filtration technique. The margain figure illustrates the membrane filter
Why is the skin on worms, the gills in fish, and the lungs in humans good epithelial surfaces for respiration. Be specific.
Solubility You are aware that gases are soluble in liquid. Solubility of a gas in a liquid depends on the partial pressure, temperature and presence of other solutes. Table
Cell theory is one of the four (or five) unifying concepts in the biology. The cell theory states that all the living things are composed of at least one cell and that cell is the
Describe pulsus parvus et tardus? Pulsus parvus et tardus means a slow rising small volume pulse typically in severe aortic stenosis with preserved LV function. Figur
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