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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.
who proposed trinomial system of classification? in ALLEN modules ans is Huxley & Stricklandt but in AAKASH its given Lamarck so what is correct?
Basic Physical Concepts of Plant Water Relation The main idea of this section is to explain the concept of chemical potential of water or water potential and the effect of var
what diseases are caused by trypanosoma and entameoba histolytica
Determine the Signs and Symptoms of Bulimia? 1. Binges, minimum twice a week for three months 2. Purging a Menstrual irregularities 3. Swollen glands Frequent fluct
Explain about the Paediatric and Geriatric Nutrition? Every stage has its unique requirements due to different changing needs. Adequate and optimum nutrition support is very im
Define Resolution - terminologies used in chromatography? Resolution is the effectiveness of the separation and is determined by two factors. These include: Distance
about how humans survive and reproduce currently. In your journal, write down three adaptations that help humans have differential survivability, and three adaptations that help hu
Define Endocrine or Hormonal Disorders - Infertility Infertility can be caused by endocrine disorders, long-term sequelae of sexually, transmitted infections, puerperal sepsis,
Osteomalacia Similar to rickets in young growing animals, osteomalacia is a disease of mature animals caused by absolute or relative deficiency of any one or combination of cal
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