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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.
Devonian is the period of geologic time from 410 - 360 million years before the present. Life on land diversified, with amphibians appearing late in this period of time. Plants we
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Needlestick/sharp instrument injuries are of major concern to health care workers. All of the significant exposures reported in the academic year 2003/04 in our Faculty, were injur
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