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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.
Drugs for Sexually Transmitted Infections Many infections can be transmitted during sexual contact. The text and tables that follow are limited to management of sexually transm
Prophylaxis Medical Letter consultants generally do not prescribe antibiotic prophylaxis for travelers' diarrhea, but rather instruct thec patient to begin self-treatment when
Q. Enlist the various modalities available for sterility assurance? Various modalities available for sterility assurance are a) Prevention of overloading b) Chemical indi
what is tissue
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How are the fruits formed? The fecundation is in angiosperms triggers the release of hormones that act upon the ovaries. The ovary wall after that it develops into a fruit that
Systemic embolization occurs in 22 per cent to 50 per cent of cases of IE. Emboli often involve major arterial beds, including lungs, coronary arteries, spleen, bowel, and extremit
Is there a respiratory pigment in the annelid blood? The blood in beings of the phylum Annelida have the respiratory pigment hemoglobin (the similar found in chordates) and oth
Q How many germ layers originate the body of platyhelminthes? In relation to this characteristic how are these animals classified? Platyhelminthes are the first triploblastic a
When constructing phylogenies using maximum likelihood methods, you assume?
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