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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.
If a person is heterozygous for the 32 allele of the CCR5 gene, how many of the four daughter cells produced by meiosis will have the 32 allele?
Define Influence of Gardening on the Development of Botany? The influence of gardening on the development of botany may be seen in the work of John Gerard (1545-1612). Gerard p
how does cockroach respire
What are some significant neurotransmitters? The following are some neurotransmitters: adrenaline (epinephrine), noradrenaline (norepinephrine), dopamine, acetylcholine, seroto
Tongue grafting Top of the stock is cut diagonally and in an upward direction. Scion is cut diagonally in downward direction. A second cut is given from above downwards,
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Explain about Folic acid Folic acid occurs as a yellow or orange-yellow, microcrystalline powder, almost without odour and taste. Water content of folic acid is up to 8.5%. Fol
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In addition to parasternal and apical transducer position. Subcostal view also provides imaging window in adult patients. The patient is supine with knees flexed to relax the abd
Maintenance Therapy A complete remission implies a clinical, haematological and bone marrow remission. For remission therapy drugs like, methotrexate cyclophospharnide and 6-
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