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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 do contraceptive pills generally work? Contraceptive pills generally have the hormones estrogen and progesterone. If taken daily from the 4th day after menses the abnormal
Discuss the importance of septa in maxillary sinus during a sinus lift or graft surgery. Septa, when present in the maxillary sinus will divide it into sections creating separa
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
Achondroplasia is an autosomal dominant disorder associated with a gene on chromosome 4. Sickle cell anemia is due to a gene on chromosome 11. A man and a woman with achondroplasia
How do we define an living organism
T h e i l e r io s i s It is also referred as tropical theileriosis and results in fever, enlargement of superficial lymphnodes, anaemia and jaundice. E tiolo
explain in detail various types of epithelial tissue
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Biological Nitrogen-Fixation The process by which molecular nitrogen (N 2 ) is reduced to ammonia (NH 3 ) is called nitrogen-fixation (N 2 -fixation). This is the most importa
Determine about the Secondary minerals Secondary minerals are formed under conditions of temperature and pressure found at the Earth's surface by the weathering of pre-existi
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