The Experts below are selected from a list of 300 Experts worldwide ranked by ideXlab platform

Elena Kokoliou - One of the best experts on this subject based on the ideXlab platform.

Henry J. Schiller - One of the best experts on this subject based on the ideXlab platform.

Shi-min Yuan - One of the best experts on this subject based on the ideXlab platform.

  • Clinical significance of mitral leaflet flail.
    Cardiology journal, 2009
    Co-Authors: Shi-min Yuan
    Abstract:

    Background: There has been scant academic consideration paid to investigations of mitral leaflet flail in terms of clinical profile, surgical strategy, and surgical outcome. Methods: One hundred consecutive patients with mitral leaflet flail referred for surgical treatment in the past 4 2/3 years were included in this study. Results: The most common reasons leading to mitral leaflet flail were chord rupture (38%), myxomatous degeneration (23%), and combined chord rupture and myxomatous degeneration (12%). Mitral leaflet flail was predominantly characterized by independent P 2 flail, followed by P 2,3 flail and independent A 2 flail. Chord rupture occurred in 54 patients, and the most commonly involved segments were P 2 , P 2,3 , and P 3 . The most common risk factors for mitral valve replacement were papillary muscle rupture, extensive myxomatous degeneration, extensive chord rupture, and severely dilated mitral valve annulus. Multivariate regression analyses demonstrated that the development of mitral leaflet flail was significantly associated with the pertinent variables tested, especially correlated with insertion of the prosthetic ring, number of artificial chord, and presence of carotid stenosis. Conclusions: Mitral leaflet flail may affect patients of any age, but is more prevalent among males and younger patients. Mitral chord rupture was the leading cause for mitral leaflet flail. Myxomatous degeneration, infective endocarditis, mitral annulus calcification, and papillary muscle rupture were the next most common causes. An increased incidence of mitral leaflet flail was closely related to the chords of the posterior leaflet and the middle scallop. Due to the progressive disappointing prognosis of mitral leaflet flail, surgery should be performed at an early stage.

Brian D. Kim - One of the best experts on this subject based on the ideXlab platform.

Michael P. W. Grocott - One of the best experts on this subject based on the ideXlab platform.

  • Management of flail chest.
    Hospital Medicine, 2000
    Co-Authors: M. Sivaloganathan, Robert Stephens, Michael P. W. Grocott
    Abstract:

    Flail chest continues to be a significant injury with serious complications. Controversy exists as to the optimal treatment. The principal dilemmas are whether the patient should be managed conservatively without mechanical ventilation, with ventilation, or via operative chest wall stabilization. This article illustrates a case of flail chest and summarizes the evidence for current treatment options.