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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.
Why is it more probable that the photosynthetic prokaryotes appeared before the aerobic eukaryotes? It is more feasible that photosynthetic prokaryotes appeared before the aero
Q. What is the difference between temporal summation and spatial summation of muscle fibers? What is tetany? Spatial summation is the recruiting of new muscle fibers to incr
what is exonephric
Describe tranposition of great arteries with intact ventricular septum? Transposition of great arteries with intact ventricular septum (or small VSD): There is usually inadequa
Assessment of new born The main purposes are: i) To identify normal characteristics in the neonate ii) To identify existing abnormalities, ii any iii) To carry
Q. Show the process of Construction of Keys? Keys are constructed using contrasting characters. The possible names in the key are divided into smaller and smaller groups. Each
Name the Primary and secondary minerals found in soils Minerals such as silicate clays and iron oxide, which are formed by breakdown and weathering of less resistant materials,
Explain the term Lipids? If somebody discovers that you have some knowledge of nutrition, you will be promptly shooted with two questions, first, "Oh! You really can tell how m
What are the three main types of passive transport? The three main kinds of passive transport are a) simple diffusion, b) osmosis and c) Facilitated diffusion. C
The diet of a MSUD patient (child) should therefore involve: • Measured quantities of natural protein or leucine from foods. • A BCAA free protein, vitamin and mineral supp
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