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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.
Define Conjunctival Xerosis - Micronutrient Deficiencies? Conjunctiva in nonnal children is bright white, smooth and glistening. Conjunctival xerosis is characterized by drynes
How is the concept of chromosome related to the concept of the gene? A chromosome is a DNA molecule and chromosome may contain several different genes and as well DNA portions
3. Which substance(s) crossed the dialysis membrane? Support your response with data-based evidence.
Explain the History of Nutrition? Knowledge of human nutritional needs and relationship between diet and health was placed on a modern scientific footing only since the 19th ce
Tetanus and Diphtheria Everyone who has had a primary series as a child should receive a tetanus-diphtheria toxoid (Td) booster injection once every 10 years. Before traveling
In pet rabbits, brown coat colour is recessive to black coat colour. A black female rabbit gives birth to four black-coated and three brown-coated baby rabbits. What can be deduced
Mineral availability of organic mineral complexes A number of mineral chelates and complexes are available from a variety of manufacturers. A chelate is described as a metal c
State three conditions in a society which could contribute to a reduction in the birth rate. Birth rate might be decreased by (i) later marriages (as smaller families), (
Binary Fission - Types of Asexual Reproduction Binary fission is a procedure in which an organism divides mitotically into two equal individuals which are generally identical
Explain risk factor at the global perspective in heart diease? While the risk of Cardio-vascular diseases has been found to be variable in different ethnic groups with the high
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