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Technique: Careful re-opening of sternum and release of steinum from the underlying adhesion is done. Femoral artery and vein are exposed for going on femoro fenioral bypass, if there is torrential bleeding. Arterial conduits are prepared for re grafting. (IMA or RA) Availability of a cell saver is a good idea.
Careful dissection to release the heart from pericardium is done. At times, last part of the dissection can be done on bypass with an empty beating heart.
Careful preservation of LIMA, which is functioning, and minimal handling of runctioning vein grafts is important. Good myocardial protection by antegrade and retrograde cardioplegia is important. The operation can also be done off pump (OPCAB).
If only left sided grafts are to be done, a left thoracotomy is useful in OCPAB. Radial artery niay be used from descending thoracic aorta to OM or PDA. If LIMA is available it csul be used for LAD or OM. Mortality is 3-6 per cent. Peri operative MI 6-7 per cent.
Describe the Developmental Periods of coronary artery diseases? The development of coronary artery disease like many other diseases can be divided into the following periods:
Where is the defect in the Argyll Robertson pupil The defect in Argyll Robertson pupil is due to light near dissociation because pupil react better to near than light.
Define about the Centrifuge? Centrifuge is an apparatus consisting essentially of a compartment spun about a central axis to separate contained materials of different specific
Q. Which are intracellular organelles present in bacteria? Considering typical eukaryotic cell organelles heterotrophic bacteria have ribosomes essential for protein synthesis.
Is the upward move of warm air good or bad for the dispersion of pollutants? The upward movement of warm air is a natural method of dispersion of pollutants. The air near the g
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what major nerve do you think is being compressed when a person often feel pain in the posterior surface of the thigh radiating to the area behind the knee and where is the likely
Pr o d u c t i o n Diseases The production diseases, which were previously referred as metabolic diseases, include diseases like parturient paresis (milk fever), downer
Define about Aliphatic alcohols - Non Glyceride Fractions? These are water-insoluble, with their content varying from 0.5-7% of the unsaponifiable matter. Rice bran oil contain
What is the mode of nutrition in fish,human,amoeba,scorpian & toad ?
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