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Dextran
Dextran is a high molecular weight polysaccharide having α1→ 6, α1→ 3 linked glucans. It is produced by the bacterial fermentation of sucrose by Leuconostoc dextranicum followed by partial depolymerisation and purification of the fermented mixture to produce a substance that is free of viable micro organisms.
Dextran is a fine, white powder that dissolves readily in hot or cold water to give a clean and viscous solution. It has good humectant and water-holding properties and imparts good bodying attributed to liquid systems.
Alfieri Repair: This is advised for ischaenlic mitral regurgitation. In the area of prolapse, the anterior and posterior leaflet edges are approximated with one or two mattress
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