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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.
What is Glycolysis in Cell Metabolism? Glycolysis : is the process that breaks down glucose into pyruvate and energy. Glycolysis does not require the presence of oxygen and
LIGHT All of us know that the sun is the ultimate source of energy for all activities in our biosphere. The electromagnetic radiations from the sun supply energy which warms up t
Explain the Periapical surgery - Endodontic Surgery a) Curretage 1 b) Root-end ressection 2 c) Root-end preparation 3 d) Root-end filling 4
As you travel south from the tundra you will enter the circumpolar belt of coniferous forests which stretches across North America to Eurasia, this region is called taiga, a world
peptide bond
What are the events that mark the beginning and the end of the second interphase period? What happens in the cell in this period? The second interphase period is the S. It begi
Nature of neuropsychological tests Neuropsychological tests are aids in the neuropsychological examination. The tests calculates specified psychological processes including the
State the Stabilization of haem pigments Ligands suggested for the stabilization of haem pigments are imidazole (and its derivatives), S-nitrosocysteine and nitrite. Whereas se
Explain the history of Darwin's Finches? The most well known evidence upon which Darwin based his theory was the distribution pattern of the Galapagos finches. The Beagle's voy
Hydrology Background: Hydrology is the study of the movement and distribution of water resources. This is an important field of study in a dry climate like Utah. Although c
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