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Role of Endarterectomy : Endarterectomy is done as a semi open technique. 5-10mm long incision is made on the outer layers of the coronary artery and plain developed in 11ic thickened media of the vessel. By gentle dissection arid traction, the plane is extended display and a tapering specimen with branches is removed as a single piece. Ti' the specimen breaks off, the arteriotomy is extended and attempt is made to I remove a tapering specimen. The end of conduit is then anastomosetod the coronary artery. I n open technique, which is usually done for LAD, the cnlirc length of the artery is laid open, atheromalous plaque is removed and a saphenous vein patch plasty is done. On to the centre of the vein patch, arterial graft is aliastornosed. Endarterectomy may lead to higher peri operative I MI, graft occlusion, arrhythmis, low cardiac output fluid slightly increaser1 mortality. The consensus among surgeons is to avoid endarterectonly altogether.
What were coopers views on nature (particularly in regard to human progress and resource use)? And Is there any thought about rights of nature or conservation of resources in her w
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DIGESTION Digestive enzymes break down food particles into smaller units. You will see that the final breakdown products of protein digestion are single amino acids or small c
natural selection
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what are the alpha taxonomy?
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