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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.
C a n d i d i a s i s (moniliasis or thrush) C and i d a albicans , the causative fungus of the disease, is widespread in the environment and is usually present
How do the cheek and onion cells visually resemble one another, and why are shapes of squamous cells so different than the onion cells?
Activators Activity of many enzymes is influenced by certain ions called as activators. Large number of enzymes such as hexokinase that require ATF are also in need of diva
everything about osmosis
Define Procedure for Testing the Presence of Sugar in Milk? 1. Take 0.1 ml of milk sample in a test tube. 2. Add 0.2 ml of resorcinol solution (0.05 gm of resorcinol in 100
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Nucellus - Ovule Enclosed within the integuments lies a homogenous mass of tissue which is termed as the nucellus. This is the tissue in which the female gametophyte differen
CAUSE S OF VARIATION - Effect of environmental conditions Change in the gene pattern like - (a) Random distribution of homologous genes in meiosis (b) Crossing over
how does measurement of light scattering allows the growth of cells to be monitored.
Explain the Irradiation and its Implication The issues are the decreased salivary flow, liability for infection because of the decreased blood supply and the possibility of ost
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