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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.
Central Nervous System Hypertension is one of the leading causes of cerebrovascular disease. It has been associated with accelerated age related cognitive decline. The most d
Functionality of CMC CMC is soluble in cold water and mainly used for controlling viscosity without gelling. As its viscosity drops during heating, it may be used to improve t
PADP may be determined by measuring the end diastolic velocity of PADP = 4 V 2 Pulmonary regurgitant signal and applying the following formula V is the end diastolic veloci
a) A cat has just arrived to the veterinary clinic with low blood pressure. The cat weighs 5 kg, and as the on call Vet you want to use a bag of saline to prepare a dopamine drip f
Non-Surgical Therapy The most conservative approach to treatment involves non-surgical therapy. This treatment modality includes three subcategories: a) Pharmacological ther
mode of action of wbcs types
What is the cause of the immunodeficiency presented by AIDS patients? The cause of the immunodeficiency shown by AIDS patients is the destruction of CD4 T helper lymphocytes by
Paper points & chemicals removal of gutta percha: - Flushing action: residual of qutta- percha and sealers chemically solvent by floating pulp chamber with chloroform. - Chem
Disorders associated with copulation and ejaculation Lack of libido refers to too long “reaction time” to complete absence of sexual desire for females in standing heat. The i
What is the life cycle type of bryophytes? As in all plants the life cycle of bryophytes is diplobiontic (alternation of generations). In bryophytes the lasting form is the hap
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