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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.
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The nitrogenase complex is extremely sensitive to inactivation by O2, so the enzyme must be protected from this reactive substance. During the root nodules of legumi
What is Subphylum Crustacea and Subphylum Uniramia? The Arthropoda are usually grouped into four subgroupings called subphyla (singular-subphylum). One of these four subphyla -
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Test of Deep vein Thrombophlebitis Place blood pressure cuff on unaffected calf and inflate until pain is elicited (usually greater than 150 mm Hg). Place blood press
Which is the first (human) heart chamber into which blood enters? Where does the blood go after passing that chamber? What is the name of the valve that separates the compartments?
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How are grasslands classified? The Grasslands may be classified into steppes and savannahs. In a steppe prevailing vegetation is grass, as in the pampas of South America and in
Explain the Role of Lipoprotein ? As discussed in the previous section, serum concentrations of Lp(a) are elevated in South Asians irrespective of their migrant status. Several
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