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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.
Why is the reaction of ethane and chlorine not a free-radical addition reaction? Because no free radicals are include in the reaction process only carbo cations and Cl- are evo
In an experiment, it was necessary that you determine the concentration of dsDNA by using a spectrophotometer. You used 6 microliters of your purified dsDNA, and the reading at OD=
Define the Diet for Children? By preschool stage, their routines are set' and dietary choices become more and more firm by the time they are in senior school. Further, there is
Purple (P) flowers are dominant and white (p) flowers are recessive. A homozygous dominant purple flower is crossed with a homozygous recessive white flower. what percentage of the
In which chloroplast structure are chlorophyll molecules found? Chlorophyll molecules are placed in an organized manner in order to increase the exposure to light on the thylak
A post-operative client has an order for Demerol 35 mg and Phenergan 12.5 mg. The nurse reviews the labels of the medications. Injectable Demerol (meperidine hydrochloride) is prep
Insects - Hormones in Growth and Reproduction In insects hormones regulate moulting and metamorphosis. The larvae or nymphs which hatch out of the eggs undergo regular moultin
write about complementary genes
DNA sequencing is the process of reading the nucleotide bases in a DNA molecule. It includes any technology or method which is used to verify the order of the four bases- guanine,
Biologists established that new cells Consequent to this doctrine, biologists established that new cells are formed by cell division and by the end of the nineteenth century, t
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