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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 are the final energetic products of each round of the Krebs cycle? Where is most part of the utile energy at the end of Krebs cycle found? After each round of the Krebs cy
Dextrin Polymers of D-glucose, formed due to partial hydrolysis of starch by enzymes.
Protein Synthesis The central dogma of modern biochemistry is totally based on the coded information holds within deoxyribonucleic acid (DNA). Double stranded DNA is converted
notes on butterfly
Q. What are the lichens? How fungi participate in this ecological interaction? Lichens are formed by mutualist ecological interaction between algae and fungi or between fungi a
Q. Which kind of polarity do fat-soluble and water-soluble substances respectively have? Ans. Water-soluble substances are behave as polar molecules, i.e., they have e
Describe Infectious Agents ? Recently there has been increasing interest in the relation between chronic low grade systemic inflammation and mortality of coronary artery diseas
Q. Explain Limited mucosal contact diarrhoea? Limited mucosal contact diarrhoea: It results from situations of inadequate mixing of chyme (semi-liquid mass of food passing thro
Factors affecting vitamin utilization Raw soybean contains enzyme lipoxygenase which can be destroyed by heating for 5 min with steam at atmospheric pressure. Lipoxygenase cata
as newly appointed food safety manager within a medium seized
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