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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.
Q. Distinguish among the terms stimulus, sensation, and perception? A stimulus is an energy source (chemical, light wave, pressure etc.) which activates a receptor cell (specia
Q. What are anteromedial aspects of temporal lobes? Olfactory Cortex - found in anteromedial aspects of temporal lobes receive sensory information directly from the olfactory n
Discuss the refractive and response to wound functions of cornea. Refractive Function: Cornea, through its interaction with the tear film, forms a smooth refractive functi
Define Nutrition, Diet and Cancer? In this, we will discuss the common forms of cancer, how they develop, relevant etiological factors, pathological/metabolic changes and other
Q. How chloroplasts multiply? Like mitochondria chloroplasts have their own the DNA, ribosomes and RNA and they self-replicate through binary division.
Littoral and Benthic Zone Littoral Zone This is the shallow water zone, near the shore, where light penetrates to the bottom. Rooted plants can grow only in this region.
A field trip to observe flowers:- Plan a field trip to view flowers in bloom. If no interesting wildflowers can be found growing near the school, the trip can be planned to a p
A laboratory mouse homozygous for an RFLP marker is mated to a wild mouse that is heterozygous for that marker. One of the heterozygous individuals resulting from this cross is mat
Q. Describe about coronary reactive hyperemia? Myocardium depends almost completely on aerobic metabolism. Occlusion of a coronary artery even briefly produces an increase in c
Q. Are all pneumonias caused by bacteria? The Pneumonia is the generic name of inflammation of the lungs. Moreover bacterial pneumonias, there are pneumonias caused by fungi, v
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