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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.
what organ stores glycogen
Q. Protein Requirement in chronic diarrhoea? Requirements are increased only in chronic diarrhoea because of associated tissue depletion. An additional 10 g of protein may be r
If a color blind man marries a woman pure for normal color vision, it's probable that one of the below situations may result. Is it possible that a) All the children would be
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Mas s Extinction - Since beginning many species evolved and got extinct (in fact only 1 % is living). Sometimes it occured suddenly at large scale, (most recently dinosa
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before stem cuttings are planted the cut end of the stem is often dipped in a hormone powder .what is the point of this?
What is Non specific defence Non specifi c: These relate to the physical barriers like skin and mucous membrane. They form the first line of defence against entry of mic
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