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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.
Assessment On assessment a child with ventricular septal defect will show clinical manifestations depending upon the size of the defect. The small defects are usually asympt
Q. What are the euchromatin and heterochromatin? Chromatin is uncondensed nuclear the DNA the typical DNA morphology in interphase the phase of the cell cycle in which the cell
The Term "Green House" effect was first introduced by j. Fourier in 1827. The green house effects are the rise in temperature of earth because certain gases in the atmosphere (CO2,
Unfortunately, unlike heart failure due to systolic dysfunction, diastolic heart failure has been studied in few clinical trials, so there is little evidence to guide the care of p
Most bacteria are anaerobic. If a bacterium were to produce the same amount of ATP within a minute as a cell extracted from your skeletal muscle, what would that bacterium have to
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Q. How many chambers do the mammalian heart and the bird heart have? Concerning temperature maintenance what is the benefit of the double and complete circulation of these animals?
what is a seed?
Define Functions of fluoride? The only beneficial role demonstrated for fluoride is in reducing the prevalence and severity of dental caries in children and adults. This is en
Development of Ovule The ovule develops from a specialised region of the ovary - the placenta. Initially it appears as a small mound on the placenta, and is composed of homoge
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