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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.
1. Andalusian chickens may be either black, white, or gray. The gene for black is not dominant over the gene for white, nor is the gene for white dominant over the gene for black.
Define Feeding Options for Premature and LBW Babies? Different workers have tried different method and since all methods are successful, it is dependent on the individual infan
Select all that are true or correct regarding a buffer: alternately donating and accepting ions a set of chemicals that work together to resist pH change often a weak acid or base
What are the Materials required for Radiographic 1. Alginate impression material. 2. Silicone separating spray/ petroleum jelly 3. Autopolymerizing PMMA (Clear)
Which of the following will lead to a decrease in the amount of oxygen delivered to the body cells in a leg? A. A decrease in hydrogen ion concentration in red blood cells in t
Solutes and ions tie up water in solution. Solutes lower aw and this reduction in aw depends on the total concentration of dissolved molecules and ions. Since these bind to water m
Enzyme-activity Control Availability of the substrate, NADH and nitrate would be an important determinant of the rate of nitrate assimilation. In addition, there are number of
What is the pineal gland? The pineal gland, also called as pineal body or epiphysis, is situated centrally in the head. It secretes the hormone melatonin, a hormone formed at n
However, according to conventional principles of economic analysis it is necessary that a resource is used for it to acquire a value. Consequently economists traditionally value bi
Can mitosis occur in haploid (n) cells? And in triploid cells? The mitotic cell division can happen in haploid (n) cells, diploid (2n) cells, triploid (3n) cells, etc. Mitosis
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