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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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Q. What is the spinal cord? Of which elements is the spinal cord constituted? The spinal cord is the dorsal neural cord of vertebrates it is the part of the central nervous sys
Q What is the genetic material of a virus? How does that material act in viral reproduction? There is DNA viruses double strand or single strand DNA and RNA viruses double stra
The benefits of HACCP can be summarized as under. a) Benefits to Consumers Reduced risk of food borne diseases Increased confidence in food supply Increased awar
Question 1) What is megalobastic anemia? Discuss briefly its lab diagnosis. How would you differentiate megaloblastic anemia from other anemias? Question 2) What is hem
Some drugs bind extensively to plasma proteins (Warfarin binds 99%) while others have virtually no binding. Extraction depends on the type of drug - there are dissimilar standar
FUNCTION S OF KIDNEY - 1. Excretion of nitrogenous wastes. 2. Maintenance of water balance or osmoregulation. 3. Acid base balance or regulation of pH.
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Define Tips for elders with chewing difficulty? Elders, without teeth cannot chew their foods, hence they start taking only liquid or semi-solid food. Thus, the quantity of nut
Q. Which are intracellular organelles present in bacteria? Considering typical eukaryotic cell organelles heterotrophic bacteria have ribosomes essential for protein synthesis.
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