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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.
Explain Extra Cardiac Conduit Fontan ? This can be done with or without cardipulmonary bypass. First step is to make a bi-directional Glenn shunt. The main pulmonary artery is
Explain Bidirectional Glenn Shunt under cardiopulmonary Bypass ? The ascending aorta and SVC at innominate jugular vein junction and IVC are cannulated and child connected to c
STOMACH It is wide, J-shaped, placed obliquely on left side in upper abdominal cavity so left kidney is slightly down ward. It is 30 cm, long and 15 cm. wide. It has g
nissles granule found in
what is the location of connective tissues in our body
Plants and animals The activity of living organisms like lichens, fungi, bacteria, blue green algae, bryophytes is also responsible for weathering. It is referred to as biolog
Q. Explain process of Stress Testing in Women? Estrogen has been implicated as a cause of ST depression. For years it seemed that estrogen protect women from coronary artery di
Peripatric Speciation Speciation by small populations isolated on the periphery of the distribution of the parent population can be described as peripatric speciation. Small, pe
Q. Explain the process of Angioplasty? Inflation of stenotic segment causes stretching of the vessel, fracture of the intimal plaque, partial disruption of the media and adven
Explain the functionality of Central Nervous System ? The central nervous system is the center of the nervous system, receiving impulses from, and sending impulses to, the per
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