Revisiting posterior mitral leaflet prolapse: Resect, respect, or resect with respect?

Management of Tiny Meningiomas: To Resect or Not Resect

Meningiomas are most often benign primary intracranial tumors that are frequently found incidentally on imaging. Larger sized meningiomas may present with symptoms such as seizures and headaches. Smaller meningiomas are commonly asymptomatic and usually observed with serial imaging. We present two female patients, both of whom were found to have very small left frontal meningiomas that marginat...

Hepatic Haemangopma: Enucleate or Resect?

To Resect or Not to Resect Extrahepatic Bile Duct in Gallbladder Cancer?

The indications for and limitations of extrahepatic bile duct resection (EHBDR) in the context of gallbladder (GB) cancer are unclear. The purpose of this review was to examine the current literature to determine the impact of EHBDR on loco-regional recurrence and survival in GB cancer. The EMBASE and Medline databases were searched up to February 2016 using the terms: extrahepatic bile duct re...

Severe Mitral Valve Prolapse with Flail Posterior Leaflet and Severe Mitral Regurgitation

Mitral valve prolapse (MVP) is defined as posterior displacement of all or part of MV leaflet(s) beyond MV annulus at least 2 mm into the left atrium (LA) during systole, with or without mitral leaflet thickening, but prolapsed leaflet(s) pointing towards apex in systole [1]. Mitral regurgitation (MR) is a common complication of MVP. Moreover, MVP with flail leaflet(s) is a severe form of MVP w...

Mitral Valve Repair for Mitral Valve Regurgitation with Papillary Muscle Displacement and Posterior Leaflet Prolapse

A case of abnormal chordae of the mitral valve (MV) associated with systolic anterior motion (SAM) is not commonly encountered in clinical practice. Here we report MV repair via the edge-to-edge technique in a 56-year-old male with MV regurgitation associated with papillary muscle displacement and posterior leaflet prolapse. Echocardiography revealed obstruction of the left ventricular outflow ...