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What is Atrial Septal Defect ?
Figure: Anatomical location of Am
Indication for Surgery : The presence of an ASD or PAPVC (Partial Anomalous Pulmonary Venous Connection) with light ventricular volume overload and a significant left light shunt (Qp/Qs Of < 1.5: 1) is an indication for closure. The optimal age for operation is usually 1 to 2 years. Surgery can be done at very young and very old age. Pulmonary vascular disease which raises pulmonary vascular resistance to >8 units / m2 at rest makes an ASD inoperable. Associated mitral and tricuspid regurgitations are not contra indications for surgery and they might need valve repair.
Generally a very small defect that is less than 5 mm in diameter does not require surgery. However, there is a possibility of paradoxical embolism even in such small defects. If the patient has a history of stroke, closure is advised. Surgical closure is indicated in such cases if device closure is contra indicated or it has failed.
Why after the passage of animals from the aquatic to the terrestrial habitat does the abandonment of the ammoniotelic excretion occur? Ammonia is a highly toxic molecule if not
Explain the Localized Aggressive Periodontitis Localized Aggressive Periodontitis: It has been in literature that transmission of peridontopathic microorganisms from periodon
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To verify the effect of intra-specific competition on the growth of saplings of Eucalyptus dives, an experiment was designed in which two sets of pots were used. In the first set o
Adsk question #Minimum 100 words accepted#saliva enzyme
Complete history taking is an initial step in diagnosis. You will ask the patient about present complaints, past history, family history, any drug allergy and also the kind of diet
what are the negative and positive economic importance of snai
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