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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.
How is it structurally explained that the motor activity of the left side of the body is controlled by the right cerebral hemisphere and the motor activity of the right side of the
Binding of Pigments, synthetic dye In addition to water, lipids and volatile flavours, food proteins can bind a number of other substances by weak interactions or
The ability to sequence DNA has led to a revolution in molecular biology. a) Describe the principles of DNA sequencing. b) A single sequencing reaction yields at best 1500 ba
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How many pairs of electrons do the two oxygen atoms in an oxygen molecule share with each other? Explain your answer. The oxygen atoms share two pairs of electrons, sinc
In continuous wave Doppler, the transducer has two Doppler crystals, one to constantly transmit and one to continuously receive. As a result of this continuous mode of tra
Recently, the media have promoted the idea of consuming only locally grown, organic produce. Are there any nutritional values that might be present in locally grown produce that mi
What is the clinical deficiency presented by hemophilic people? What is the genetic cause of that deficiency? The Hemophilia is a disease characterized by impaired blood clotti
Explain Trapezoidal Full Mucoperiosteal Flaps a) Similar to rectangular flap except: The 2 vertical incisions are at obtuse angle with the Horizontal incision, b) Mostly
What is the structure that maintains identical chromatids bound? Ans) The structure that handles identical chromatids bound is the centromere.
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