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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.
Secondary Growth in a Typical Dicotyledonous Stem In stem, the secondary growth in thickness in diameter is confined both intrastelar, i.e., in the stele and extrastelar regio
Explain the Character of Pulse ? A normal pulse wave has an upstroke and down stroke. Dicrotic notch present on direct arterial traces is impalpable. Figure: Arterial
Biotolerant Metals :- Co- Cr Alloys, Stainless Steel, Gold, niobium, tantalum Polymers:- Polyethylene, polytetrafluorethylene, polyamide, polymethylmethacrylate, polyureth
Define glycolysis Glycolysis or the citric acid cycle in which the direction of the reactions is well defined, the interconversion reactions of the HMP pathway can function
Cutaneous respiration in frog Frog belongs to class Amphibia under vertebrates. It is an amphibious animal which can live both on land and in water. Skin is very impor
Explain the energy flow of ecology? Energy flow: As you can see, energy flow is one way in an ecosystem. Energy is not recycled. The ultimate source of energy that powers eco
ORGA N TRANSPLANT REJECTION - Major histocompatibility complex is responsible for stimulating the rejection of tissue MHC is set of genes that code for cell surface glycopr
C o n t a g i o u s bovine pleuropneumonia It is a disease of bovines characterized by high rise of body temperature and difficulty in respiration. E t iolo
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why and where endomitosis happen.........?
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