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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.
Definition of old age? The exact timing of the onset of the ageing process cannot be ascertained because the effect of age varies among different individuals. However, the chr
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Define interaction of folate with vitamin B 12 ? Vitamin B 12 : For the conversion of folic acid to folinic acid, vitamin B 12 is required. Vitamin BIZ deficiency caus
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he Lac Repressor protein, which we will talk about a bit later in the course, is important for controlling expression of a number of genes in E. coli. There are about 10 copies of
Q. Elimination of the risk factors - diabetes mellitus? In other words, in diabetes it refers to maintaining of normal body weight, healthy nutritional practice, regular physic
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