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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.
what are the two reactants and the two products of a dehydration reaction/ What are the two reactants and products of a hydrolysis reaction
trinominal names
Trends in Succession - Ecology Succession is an important aspect of change in ecosystems and a simple description of successional communities the beginning of the story. We ne
What benefits led to natural selection of a two-circuit pump function of the heart a) One circuit to go from the heart to the body and one from the heart to the lungs b) One cir
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This is a rare manifestation seen in less than 5 per cent of ARF patients. It is erythematous, macular, evanescent, non-pruritic rash with pale centre and serpiginous or rounded bo
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