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Explain the term Rastelli operations ?
This is the operation of choice for transposition with VSD and left ventricular outflow obstruction. The principle of this operation is: 1) Intra ventricular VSD patch to direct LV blood to aorta. 2) To use an extra cardiac conduit to establish connection between the right ventricle and pulmonary artery. A valved conduit is made out of aortic or pu1111onary allograft. The alternative is to use a polyesler or PTFE graft with a bioprosthetic valve. If the operation is done in an infant, the size of the conduit his necessarily to be small and would require re-operation after some time.
Describe normal regulation of blood glucose via the pancreatic hormones. How is this altered with Diabetes? Why is Diabetes called an impairment to the homeostasis of glucose? What
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