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Classic Procedure: The approach is the same as described earlier for open mitral valvotomy. The excision starts with an anterior incision on the anterior leaflet at 12o'clock position, 2mm distal to the annulus. The incision is extended. The anterior leaflet with the chordae and the tip of the papillary muscle are removed. If the posterior leaflet is calcified, it is also excised along with chordae and tips of papillary muscles. Over zealous excision and suturing may cause venticular rupture or damage to circumflex coronary arteiy. Valve size is assessed according to the type of valve selected by the surgeon. The valve can be sutured by a continuous suture technique or interrupted pledgetted mattress sutures using 2 '0' braided polyester sutures. The pledgets are usually placed on the atrial aspect or rarely on the ventricular aspect.
Genioglossus Originates from superior genial tubercles which are located near the crest of the alveolar ridge in atrophic mandible. Therefore, one should be aware of it during
explain spermatogenesis
Carpentier -Edwards Valve (C-E) : This is porcine aortic valve preserved in gluteraldehyde and mounted on flexible stent made of cobalt-chromium-nickel alloy (ELGILOY). Glut
Procedure of radiographic template It is very similar to a flasking procedure. Mix slow setting irreversible hydrocolloid (alginate) with cold water (to gain more working ti
Explain what is Third Heart Sound S 3 ? S, is generated during the rapid filling pliase. It is a low frequency event. Mechanism of S, production: It is due to a sudden limita
The nucleus has an inner and an outer membrane and is perforated through 3000-4000 nuclear pores. Each pore having of a nuclear pore complex of more than 100 several proteins organ
Monkey pox Monkey pox is caused by Monkey pox virus, a member of genus Orthopoxvirus. Transmission generally occurs as a result of close contact with infected animals, mostly thro
Intracellular digestion, or cellular digestion, is the breaking in the interior of the cell of big molecules coming from outside or even from the own cell metabolism into smaller m
what is the xternal & internal respiration in frog
Theodosius Dobzhansky and Boris Spassky demonstrated the working of normalising selectioion a behavioural trait in two populations of Drosophida pseudobscura. The two populatiors w
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