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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.
To make a 40 mg/mL solution of kanamycin (MW 582.6) how many grams of kanamycine would you dissolve in 500 mL of water?
Which type of tissue are the cartilaginous and the osseous tissue? The cartilaginous and the osseous tissues are considered connective tissues as they are tissues in which the
Define Factors that affect the requirement of Protein? Protein requirement is greatly influenced by many factors such as age, environmental temperature, energy intake, gender,
What is the typical shape of poriferans? Sponges have bodies in the type of tubular vases or globes open in the upper extremity. They have an internal central cavity and porous
why excretory organ of prawn is called green gland?
Explain Atrial Switch Operation ? The hospital mortality reported varies between 0 and 15 per cent. Late survival is worse for TGA with VSD compared to simple TGA. 15 year surv
Hypoglycaemia When Driving Hypoglycemia is particularly dangerous if it happens to someone who is driving. People with hypoglycemia may have trouble concentrating or se
How to increase in the amount of glucokinase in liver Consumption of a meal rich in carbohydrate or administration of insulin initiate an increase in the amount of glucokin
Explain about Chlorophylls Chlorophylls are used as colourants in a range of foodstuffs and both natural chlorophyll (containing magnesium as the central metal ion) and 'coppe
Biological evaluation A small livestock unit if attached with a mill will be of immense help. Since inspite analyzing for various mycotoxins still we face some problems, at lea
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