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Classic Procedure: The approach is the same as described earlier for open mitral valvotomy. The excision starts with an anterior incision on the anterior leaflet at 12o'clock position, 2mm distal to the annulus. The incision is extended. The anterior leaflet with the chordae and the tip of the papillary muscle are removed. If the posterior leaflet is calcified, it is also excised along with chordae and tips of papillary muscles. Over zealous excision and suturing may cause venticular rupture or damage to circumflex coronary arteiy. Valve size is assessed according to the type of valve selected by the surgeon. The valve can be sutured by a continuous suture technique or interrupted pledgetted mattress sutures using 2 '0' braided polyester sutures. The pledgets are usually placed on the atrial aspect or rarely on the ventricular aspect.
Human Impact on Carbon Cycle Human activities have greatly influenced the carbon cycle. The discharge of CO 2 , into the atmosphere is steadily increasing owing to burning of
Explain about the Fructnns as Food Ingredients? Oligosaccharides have several functional/technological attributes that give them a potential for incorporation into foods. They
Q. How does the depolarization of the neuronal membrane start? The primary cause of the neuronal depolarization is the binding of neurotransmitters released in the synapse by t
What is neiosis
Counselling involves a process, the aim of which is to help others to help themselves by making better choices and becoming better choosers of options. The counsellor's repertoire
The Protein targeting or protein sorting is the mechanism by that a cell transports proteins to the appropriate positions in the cell or outside of it. A Sorting targets can be the
Molecular Genetics and Plant Growth Hormone Molecular genetics has advanced over the last three decades by leaps and bounds, providing knowledge regarding the control of devel
What are the capillaries of the vascular system? Capillaries are small blood vessels that perform exchange of substances among the blood and the body tissues. Capillaries are n
Fatty liver or fat cow syndrome (hepatic lipidosis, pregnancy toxaemia in cattle) Fatty liver or hepatic lipidosis is a major metabolic disease of dairy cows. It is caused by
What is the Importance of pantothenic acid One of the active forms of pantothenic acid is coenzyme A, which is involved in numerous metabolic functions. It is involved in t
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