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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.
Invasion or Migration - Ecology When a habitat is changed it can be a potential site for the establishment of many organisms. Many species actually invade or reach this new si
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If given this in this sequence to find surface area, 1 cm x 2 cm x 2 cm block, am I to assume it is written in LxWxH format? I actually think the length is 2 though and the width i
To verify the effect of intra-specific competition on the growth of saplings of Eucalyptus dives, an experiment was designed in which two sets of pots were used. In the first set o
The main objectives of study of ecology are: (i) To study the distribution of biota local and geographical level. (ii) To study the interrelationship
Determine Energy Requirements for Athletes? You are familiar with the fact that body needs' energy to maintain body temperature, to meet metabolic demands, maintain electrolyte
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