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Technique: Careful re-opening of sternum and release of steinum from the underlying adhesion is done. Femoral artery and vein are exposed for going on femoro fenioral bypass, if there is torrential bleeding. Arterial conduits are prepared for re grafting. (IMA or RA) Availability of a cell saver is a good idea.
Careful dissection to release the heart from pericardium is done. At times, last part of the dissection can be done on bypass with an empty beating heart.
Careful preservation of LIMA, which is functioning, and minimal handling of runctioning vein grafts is important. Good myocardial protection by antegrade and retrograde cardioplegia is important. The operation can also be done off pump (OPCAB).
If only left sided grafts are to be done, a left thoracotomy is useful in OCPAB. Radial artery niay be used from descending thoracic aorta to OM or PDA. If LIMA is available it csul be used for LAD or OM. Mortality is 3-6 per cent. Peri operative MI 6-7 per cent.
State the Continuous sutures Suturing technique It can be used to attach 2 surgical flap edges or to secure multiple interproximal papillae of one flap independently of the oth
need different types of information about fishes and their pictures
Energy Storage As we said above, food intake and energy expenditure for animals is approximately equal. If energy expenditure exceeds food intake, then the excess energy is t
State the term - Early therapeutic Intervention Since outcome may be ameliorated by well timed and appropriate treatment, the prevailing belief is that dysfunction should be id
What do you understand by Exoskeleton. Supporting structures of skeleton not surrounded by the body. Endoskeletal elements are secreted by an underlying epidermis and one side
Q. Can you explain Balloon Valvuloplasty? Whenever feasible valvuloplasty is the treatment modality of choice. One has to make sure that the valve is suitable and expertise to
Starch is one of the most common storage products in seeds. What happens to the starch before it can be used by the germinating seed? Starch is insoluble and has to be changed,
What are the main bryophyte groups? The main bryophyte groups are the mosses, the liverworts and the hornworts. Image Diversity: mosses liverworts hornworts
State the term supply shortly. Supply: Potential firms or businesses into the market which are willing and capable to supply various quantities of a good or service at a
Illustrate about the Principle of Context A third principle guiding the neuropsychological assessment of children is that environment contexts help to constraint and determine
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