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Trans Myocardial laser re vascularisation (TMLR) : Patients who have severe angina and diffuse coronary artery disease with no graftable vessels are at limes subjected to TMLR. In this procedure target areas of myocardium are marked based on pre-operative studies. On a beating heart with special laser equipment, laser channels are created one cm npa1.1 on selected areas of niyocnrdium of left vcntriclc. 10-12. such channels arc created on the anterior anti lateral walls of LV as required. These should be away from major coronary artery branches. At times there may be one or two graftable vessels and large areas of myocardium that cannot be revascularised. A hybrid procedure is done for these cases. TMLR is done first and after haemostasis patient is heparinised and grafting is done either on or off bypass. This procedure has been described ant1 popularized from Escorts hospital india by Dr. Naresh Trehan.
Cell membrane lining the inner surface of the cell wall The cell membrane lining the inner surface of the cell wall is made up of phospholipids (45%) and proteins (55%). Some
Describe the events which lead to the formation of (a) identical twins, (b) fraternal twins in detail
draw a well labled diagram of plasmotomy
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a patient has experienced a bleed in the left frontal lovel of their brain.descibe the effect on motor function for this patient after the bleed.
Advanced Nervous Systems - General Trend In Evolution In higher groups of animals you will observe clear trends towards centralisation of the nervous system, to maximize effe
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