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Chordal Sparing Operation: For sparing both leaflets, an incision is made on the anterior leaflet close to the annulus and then extended centrally and the two segments, are folded towards the posterior leaflet and pledgetted mattress sutures taken. Decision is taken whether a prosthetic or bioprosthetic valve is to be inserted. Then the correct sized valve is chosen. In a stenotic valve with a small LV, a low profile valve is the best choice-St. Jude 01- Medtronic Hall. When the left
ventricle is large, a Starr-Edward valve can be inserted. Deairing should be thoroughly done. It is not advisable to lift the LV for deairing through the apex when a bioprosthetic valve has been inserted. Some patients with AF will require suturing of atrial appendage from inside and a COX LU (MAZE) procedure as described in the case of open mitral valvotomy.
LIVE R - The liver produces a protein angiotensinogen which is changed to angiotensin II by an enzyme renin secreted by the juxtaglomemlar apparatus of the nephrons in the kid
Q. Physical Signs of mitral regurgitation? Pulse is of normal character but carotid upstroke may be brisk. Atrial fibrillation is often present in a patient with advanced disea
Calculate the Concentration of Unknown Solution from Standard Curve? i) First take different volume of standard solution (say 0.2, 0.4, 0.6, 0.8, 1.0 ml) and then calculate the
Cold Chain System Vaccines are sensitive to heat. On exposure to heat their potency is lost. Once a vaccine has lost its potency it cannot be regained, so it is important
What are the differences between vertebrates and the other chordates? Vertebrates are dissimilar because they have a spinal column (vertebral column). In these animals the noto
if i start in the superior mesenteric vain where do i have to go through to get to the left anterior circumflex humeral artery. by the way of the hepatic portal vein and the heart
Senescence - Effects of Plant Growth Regulators on Development All five major growth regulator groups: auxins, gibberellins cytokinins, abscisic acid and ethylene can influenc
Symptoms: The E. coli gastroenteritis syndrome is caused by the ingestion of 10 6 -10 10 viable cells/g that must colonize the small intestine and produce enterotoxin. The syndr
Simultaneously with the formation of two daughter nuclei, a cleavage furrow appears in the middle of the cell. The furrows gradually deepen and divide the cell into two daughter ce
Explain Post Myocardial Infarction Surgery Indications ? Indications for Surgery : Presence of ventricular septal rupture is an indication for surgery. Timing of surgery is
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