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Cryo Preserved Allografts (Homograft) : As these are not mounted, a free hand suturing in two layers has to be done. The valve is thawed by protocol. The septal muscle is excised with support from index finger inserted through the allograft. Excess aorta is also trimmed off leaving smallstrip of aorta above each commissure. The valve is inserted into the left ventricle. With continuous prolene sutures, it is fixed in the sub annular position. The allograft is then pulled into the aorta from LV to its normal position. Using 4'0' prolene sutures, a second row of continuous running sutures are applied; tied and cut off.
For an allograft, the chosen size has to be correct as otherwise aortic regurgitation can occur. At the end of surgery, Tran's oesophageal echo is mandatory.
Name the various Test batteries Test batteries typically assess the following domains: General cognitive ability Language ability Visuoperceptual and constructi
Oxidation Some enzymes which have the sulfhydryl (-SH) group in the catalytic site are very sensitive to oxidation. Due to oxidation of the -SH group by aerial oxygen
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What is fixism? The Fixism is the theory about the diversity of life on earth that affirms that the current existent species were identical to species of the past and came out
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In arthropods why isn't gas exchange done through cutaneous diffusion? In arthropods the impermeability of the exoskeleton makes the passage of gases complex. In addition the n
Absence of vesicular glands In some bulls the vesicular glands are either absent or hypoplastic also sometimes accompanied by poorly developed ampullae. A characteristic sympt
Respiration Robert Boyel and Robert Hook first of all explained the meaning of respiration. Main aim of respiration is to liberate energy in the form of A.T.P. Oxidati
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Q. Define Eye Balling? Ans. Two-dimensional echocardiography provides a good visual perception of cardiac functions. With experience, the echocardiologist learns to percei
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