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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.
How plants control the opening and the closing of the stomata? The closing and the opening of the stomata depend upon the necessity of the plant to lose water and heat through
Soils of Tropical and Temperate Forests Although soils of tropical forests are generally poor in nutrients they are able to maintain high productivity under natural conditions
Determine the Luria's testing methods The choice of using items selected by Christensen to determine Luria's testing methods was, in retrospect, probably less crucial than the
It is elimination of an antigen or antibody from a sample by the process of adsorption, to which the complimentary antigen or antibody is bound.
give the discriptive account of nerilla which belongs to class arciannelida in phylum annelida
Q. How is extracellular digestion related to tissue and cellular specialization? A variety of specialized tissues and cells appeared with extracellular digestion to provide enz
What are few examples of phenotypical characteristics that present two or more varieties and of phenotypical features that do not vary? In relation to the genes correspondent to th
What is cold-shortening It is important to point out that over-effective chilling of hot carcasses can lead to toughness. If the temperature of the meat (muscles) can be reduce
As the heart rapidly slows during recovery from exercise, PVCs commonly occur and usually have no clinical significance. This may be a time when metabolic adjustments in the heart
What is the basic structure of a virus? Viruses are constituted of genetic material (DNA or RNA) covered by a protein capsule also called as a capsid. Some viruses, like HIV, h
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