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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.
Q. What is Sanitation in food service establishments? We start our study of this topic by first defining what is sanitation? A three-word definition of food sanitation
INSULIN Linear polymer of b-D-Glucose. Insulin is small-sized (25 - 35 residues) fructosan homopolysaccharide which is a reserve carbohydrate present in roots, tubers and
Food Sources of Proteins Food protein sources can be divided into 3 major categories: a. Protein of Animal Origin b. Protein of Plant Origin c. Single cell protein
How can the abundance and diversity of living beings in the tropical forests be explained? The biodiversity of these ecosystems can be defined by the great availability of the
classification of grantia
Where are blood cells made in the body? Blood cells are made in the red bone marrow, e.g. in the ribs, sternum or vertebrae.
Explain the working of Skeletal Muscle? Skeletal muscle is under voluntary control and is responsible for voluntary movements of body parts. Skeletal muscle is also called stri
Enumerate the history of neuropsychological The typical neuropsychological exam begins with a careful history taking. Areas of interest include: Medical history of patie
Determination of Vitamin A Vitamin A assay is carried out by chemical method. This method is called Carr Price Reaction. Vitamin A and the carotenoids produce an intense b
Fertilisation: Fertilisation is the process of fusion of male and female gametes. For fusion of male and female gametes, pollen grains have to reach the surface of the stigm
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