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Total Arterial Re-vascnlarisation : In total arterial re-vascularisalion (TAR) end of the right internal mammary artery (RIMA) or radial arlery (RA) is anastomosed to the side of left internal mammary artery (LIMA) as a T or Y graft. This is done before cardio pulmonary bypass. On bypass, LIMA s anastomosed to diagonal branch as side-to-side and to LAD as end-to-side graft. Then sequential anastomoses between RIMA and OM1, OM2 or OM3 are done as side-lo-side anastomosed and it ends in PDA or KCA as an end to side graft.
Some patients may need ionotropic support of dopamine, dobutamine or adrenaline. In spite of ionotropic support, if blood pressure is low and LA pressure is high, insertion of intra aortic ballon pump (IAUP) is indicated.
After patient is weaned off cardio pulmonary bypass, cannulae are removed and heparin is reversed with protamine sulphate. Chest is closed with two drains. Patients are taken off ventilator after a few hours or next morning and if no complications intervene they should be back in the ward next day. They are ready to go home in 9 to 10 days.
Acetylcholine, a well known neurotransmitter, plays a critical synaptic role in the initial formation of memory. Chemical blockage of the acetylcholine receptors makes it harder to
Name of the ductless glands that secrete their product into the circulatory system are: a) Exocrine (pron: ek-seh-kren) b) Apocrine (pron: ap-eh-kren) c) Holocrine (pron:
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Explain what is a terrestrial organism? Ans) 'Terra' is the Latin word for earth. Thus, an animal that lives on the surface of the earth is known as terrestrial. This is the si
Define the Classification of Proteins? Proteins vary widely in. their properties. We suggest you look up this unit once again now as the information about proteins and their pr
differences between acoelomate,coelomate and pseudocoelomate
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define inflorescence and explain in detail about it''s types
regenerstion in invertebrates
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