Already have an account? Get multiple benefits of using own account!
Login in your account..!
Remember me
Don't have an account? Create your account in less than a minutes,
Forgot password? how can I recover my password now!
Enter right registered email to receive password!
Explain Fossn Ovalis Defect (Ostium Secundum Defect) ?
This is the most common type of atrial septal defect.The usual approach is through a midline incision and median sternotomy. In young girls, for cosmetic reason, approach through a submammary light thoracotorny or low and minimally invasive midline incision is used. Piece or pericardium is harvested for patch closure of the defect. Ascending aortic and bicaval cannulations are done for cardio pulmonary bypass. The operation is done at 32 to 34°C after aorta is clamped aortic root cardioplegia given.
After snaring SVC and IVC tapes, right atrium is opened parallel to atrioventricular groove. Anatomy of the defect is studied and mitral valve is inspected and tested for incompetence. When the defect is fenestrated, these strands are excised to form a single large defect. Small defects can be directly closed but a patch closure is generally preferred. The pericardial patch is first sutured to the inferior aspect of the defect between inferior vcna cava and left atrium. Great care is taken not to confuse the Eustachian valvc of' IVC with remnant qf the floor of fossa ovalis. Such an error can lead to diversion of IVC to left atrium when the operation is done under circulatory arrest without an IVC cannula. Once the lower part of the patch is anchored, the rest of the patch is sutured to the margins of the defect. Care is taken to avoid injury to the atrio ventricular node situated at the apex of the Koch's triangle.
Q. Why is the sun the "motor" of the water cycle? The sun can be considered the motor of the water cycle for the reason that upon its energy the transformation of liquid water
Define Fortification to prevention of iron deficiency anaemia? Food fortification is one of the alternatives that ensure consumption of the nutrient regularly in daily diet. Fo
The client was admitted to the hospital with hypertension (high blood pressure). The development of arteriosclerosis (plaque buildup in the arteries) has increased peripheral resis
Contamination due to Pathogens - Water Pollution Sewage is a source of pathogenic viruses, bacteria, worms and other parasites. The extent of contamination by these pathogens
Describe New Cardio-vascular Risk Factors ? The major risk factors contributing to the development of atherosclerotic plaques in blood vessels have been known for many years. H
Q. What is the DNA vaccine? The DNA vaccination or is a vaccination technology based on genetic engineering. In DNA vaccine a recombinant plasmid (vector) containing the gene o
Determine the Fluids and Electrolyte Requirement at high Altitude? In addition to cold induced diuresis, hyperventilation together with a dry environment at HA makes an individ
Proteins Protease inhibitors: Protease inhibitors are protein-based substances widely distributed within the plant kingdom, including the seeds of most cultivated legumes wh
Please answer the following question on Sequence Y: Protein databases 1. What sequence from which organism is this sequence most similar to? 2. Can you find any homo
Water Cycle (Hydrological Cycle) The movement of water on the earth is continuous and forms many complex inter-related loops (Figure shown below). Cycling of water involves atm
Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!
whatsapp: +91-977-207-8620
Phone: +91-977-207-8620
Email: [email protected]
All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd