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De Vega Annuloplasty : Classic De Vega annuloplasty is done using 2'0' double armed polyester suture with pledgets on either end. It starts with one of the needles passed from a point just beyond the cormnissure between posterior and septal leaflets. It stops after crossing the commissural between the anterior and septal leaflets. Then the second needle is passed similarly after incorporating a Dacron pledget. After both needles come out, they are passed through another pledget. By tightening these sutures, a purse string narrowing of posterior and anterior parts of annulus is achieved. It is then tied. The narrowing can be adjusted by tying over a Starr-Edwards mitral valve sizer of 24-34mm.
Discuss in detail about the Mitochondria An important function of the cell is to derive energy from the different oxidisable nutrients, such as, carbohydrates and fats supplied
A woman was injured several years ago in a car accident and she was diagnosed with a herniated disc. Can you please explain using the correct anatomical terminology what herniation
Zymogens, or proenzymes, are enzymes secreted in inactive form. Under certain conditions, a zymogen shifts to the active form of the enzyme. Zymogen secretions in general occur due
Explan Ketogenic diet Ketogenic diet: It is occasionally used to facilitate the control of epilepsy. Here, the patient is initially fasted for 48 hours and thereafter,
Homozygous and Weterozygous In an individual two identical alleles may exist [or a given character and, hence, the individual is referred to as Homozygous (e.g. AA and aa). If
examples of pyramid of energy
Write in 3-4 lines about foot examination Foot ulceration and amputation are common and major causes of morbidity and disability in people with diabetes. Skin integrity should
Electric Charge - Properties of Colloidal Systems Colloidal particles are electrically charged. Some colloidal particles carry a positive charge (+), others a negative charge (
Q. Explain Limited mucosal contact diarrhoea? Limited mucosal contact diarrhoea: It results from situations of inadequate mixing of chyme (semi-liquid mass of food passing thro
what is the importance to study the tolerance range in real-life situations?
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