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Total Arterial Re-vascnlarisation : In total arterial re-vascularisalion (TAR) end of the right internal mammary artery (RIMA) or radial arlery (RA) is anastomosed to the side of left internal mammary artery (LIMA) as a T or Y graft. This is done before cardio pulmonary bypass. On bypass, LIMA s anastomosed to diagonal branch as side-to-side and to LAD as end-to-side graft. Then sequential anastomoses between RIMA and OM1, OM2 or OM3 are done as side-lo-side anastomosed and it ends in PDA or KCA as an end to side graft.
Some patients may need ionotropic support of dopamine, dobutamine or adrenaline. In spite of ionotropic support, if blood pressure is low and LA pressure is high, insertion of intra aortic ballon pump (IAUP) is indicated.
After patient is weaned off cardio pulmonary bypass, cannulae are removed and heparin is reversed with protamine sulphate. Chest is closed with two drains. Patients are taken off ventilator after a few hours or next morning and if no complications intervene they should be back in the ward next day. They are ready to go home in 9 to 10 days.
Discuss about the Luria Nebraska procedure The Luria Nebraska procedure involves an age and education correction. It is accomplished by computation of a cutoff score for abnorm
DETERMIN A TIO N OF THE AGE OF FOSSIL - Radioactive clock (Boltwood -1907) - Half life of uranium is 4.5 billion years. This means half of total uranium disintegrates
Q. Explain Coronary Anatomy? The main coronary trunks can be considered to lie in one of two orthogonal planes. The anterior descending and the posterior descending coronary ar
Which of the following represents two things that are identical? a.Two alleles for the same gene in a homologous chromosome pair. b.The sequences of DNA in the two sister chr
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Ask question #What kinds of detritus or carrion can you observe in this ecosystem? Is there any evidence that scavengers, detritivores or decomposers are utilising this decomposing
Ecosystem Degradation and Wildlife Man is an animal with ecological requirements just like any other animal. It constantly needs a source of energy and.minera1 nutrients for i
What is the disease caused by vitamin D deficiency? Which tissue does it affect? The lack of vitamin D causes the disease called as rickets (rachitis), characterized by decalci
Biological Valves : Biological valves are available for all positions. For mitral position they are usually mounted on a stent (stent mounted) whereas for aortic position they ma
Q. Do protozoans have a cellular nucleus? All protozoans, as eukaryotes have nucleus, some species like the paramecium have two nuclei the micronucleus and the macronucleus.
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