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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.
Q. What is quaternary structure of a protein? Do all proteins have quaternary structure? The quaternary protein structure is the spatial conformation due to interactions among
Write a short note on muscular system? The muscular system provides mobility and support to the body. There are three types of muscle tissue: skeletal, smooth, and cardiac. Th
plz give the classificational chart of animals upto speceis level
XYY humans are fertile males. XXX humans are fertile females. What do these observations reveal about the mechanisms of sex determination and dosage compensation?
PROCEDURES RELATED TO HYGENIC CARE Would you like to remain without a bath on any given day? Do you remain without a bath when you are sick.? No one normally, would like to m
Q. Describe Cultural Characteristics of Microorganisms? Bacterial growth in and on foods often is extensive enough to make the food unattractive in appearance or otherwise obj
according to the graph,which age is the amount og growth hormone produced at its highest?
CONTRO L OF EXCRETION - 1. In brain hypothalamus is osmocentre that controls minerals. 2. Cells of DCT & arterioles combien to form Juxta glomerular node, it se
Classification of Enzymes It has been a long tradition of giving enzymes names ending in 'ase'. The only major exception to this 'ase' is the proteolytic enzymes, whose names
Describe about the Halstead's discriminating tests Halstead's discriminating tests are viewed as a measure of adaptive abilities, of skills that ensured man's survival on the p
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