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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.
descirbe the role of allied health profession all providing pulmonary rehabilitation during treatment of emphysema
Dietary fibre Dietary fibre: Typhoid patient has an inflamed intestinal mucosa, which can be easily perforated and ulcerated leading to internal haemorrhage. Thus foods hig
Q. What is the embryonic characteristic that evolutionarily makes echinoderms proximal to chordates? Chordates and Echinoderms are deuterostomes that is in their embryonic deve
Ask questionLIMITATION OF ECOLOGICAL PYRAMIDS #Minimum 100 words accepted#
Illustrate the functioning of comprehensive model 1) Provide continuity in understanding developmental progress, or lack thereof, in those disorders that affect neurological de
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?
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Explain about the Tray and Tunnel Dryers? Tray and tunnel dryers are widely used in the food industry. In both cases the material being dried is supported on multiple trays, wi
Q. What is the significance of mitosis for the embryonic development? Every embryo grows from a single cell that bears mitosis and generates other cells that also divide themse
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