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Cryo Preserved Allografts (Homograft) : As these are not mounted, a free hand suturing in two layers has to be done. The valve is thawed by protocol. The septal muscle is excised with support from index finger inserted through the allograft. Excess aorta is also trimmed off leaving smallstrip of aorta above each commissure. The valve is inserted into the left ventricle. With continuous prolene sutures, it is fixed in the sub annular position. The allograft is then pulled into the aorta from LV to its normal position. Using 4'0' prolene sutures, a second row of continuous running sutures are applied; tied and cut off.
For an allograft, the chosen size has to be correct as otherwise aortic regurgitation can occur. At the end of surgery, Tran's oesophageal echo is mandatory.
Q. Signs of constrictive pericarditis? 1) Jugular venous pressure (JVP) is elevated in all patients of CP which reflects the elevated diastolic pressure of the right atrium.
TYPE S OF BONE - On the basis of its texture , a bone is of two types - Spongy or cancellous or tubercular bone and Compact or periosteal or dense bone.
Q. What is Atomic constipation? This type is most common; often it is called the "lazy .bowel". There is a loss of muscle tone causing weak peristalsis, the causes are: a) L
Lipids are essential fats that have much importance to the human body. Lipids are biological molecules that are insoluble in aqueous solutions and soluble in organic solvents are c
Reparative Regeneration This type of regeneration, as the name suggests, involves repair of a wound or replacement of a body part removed intentionally or because of injury.
describe polymorphism in lysosomes in short
NON-MUSCULA R MOVEMENT - 1 . Streaming movement - In amoeba, cyclosis is common. 2 . Pseudopodial - In leucocyte, macrophages, amoeboid movement take place
Augmentation Therapy: The functional gene is introduced in addition to the defective gene endogeneous to the cell(s) in this somatic cell gene therapy, i.e. the improved cell
Renal insufficiency Antimicrobial drugs excreted through the urinary tract may be toxic for patients with renal insufficiency if they are given in usual therapeutic doses, bec
Define the Over nutrition obesity of Infant? An infant is never put on a reducing diet. The chances of obesity are least if an infant is exclusively breast-fed till 6 months. I
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