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What are the Technique of Operation in CPS?
Percutaneous balloon valvotomy is the procedure of choice at any age. If this is not feasible, open surgical valvotomy is recommended. This is usually done under cardio pulmonary bypass.
The approach is through a median sternotomy and institution of cardio pulmonary bypass with ascending aortic and bicaval cannulation. Moderate hypothermia to 28OC and cardioplegia are used. Pulmonary trunk is opened vertically and valve inspected. All the Three commissures are incised up to the annulus. Adherent commissures are separated from pulmonary arterial wall and incised. When the cusps are thick and obstructive, valvectomy is also performed to give better opening. In case there is infundibular narrowing it can be excised from right atrium, pulmonary artery or by ventriculotomy. Pulmonary annular narrowing is treated by transannular patching with pericardium or PTFE patch. Systemic- pulmonary shunting is done if the right ventricle is hypoplastic.
Q. Etiological factor of diverticular disease? The causes of diverticular disease are not certain, but several factors may contribute to changes in the wall of the colon. These
EXCRETION IN PRAWN- A pair of antennary gland or green gland and a median renal sac present. Green glands lie at the base of antennae & open out by renal aperture.
Q What is the cyclosis? Cyclosis is a kind of interior cell movement in which an oriented flow of circulating material is created and maintained in the cytoplasm by the action
why is it consideredto have an intermideate grade oforganisation
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a 6th grade student friendly definition?
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