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We report a 61\u2010year\u2010old male for three\u2010dimensional transesophageal echocardiography (3DTEE)\u2010based virtual posterior leaflet resection and ring annuloplasty. Severe mitral regurgitation was found and computational evaluation demonstrated substantial leaflet malcoaptation and high stress concentration. Following virtual resection and ring annuloplasty, posterior leaflet prolapse markedly decreased, sufficient leaflet coaptation was restored, and high stress concentration disappeared. Virtual <jats:styled-content style=\"fixed-case\">MV<\/jats:styled-content> repair strategies using 3DTEE have the potential to help optimize <jats:styled-content style=\"fixed-case\">MV<\/jats:styled-content> repair.<\/jats:p>","DOI":"10.1111\/echo.12717","type":"journal-article","created":{"date-parts":[[2015,1,30]],"date-time":"2015-01-30T00:18:59Z","timestamp":1422577139000},"source":"Crossref","is-referenced-by-count":4,"title":["Three\u2010Dimensional Echocardiography\u2010Based Prediction of Posterior Leaflet Resection"],"prefix":"10.1111","volume":"31","author":[{"given":"Yonghoon","family":"Rim","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Medicine Department of Internal Medicine The University of Texas Health Science Center at Houston Houston Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahnryul","family":"Choi","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine Department of Internal Medicine The University of Texas Health Science Center at Houston Houston Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan T.","family":"Laing","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine Department of Internal Medicine The University of Texas Health Science Center at Houston Houston Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David D.","family":"McPherson","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine Department of Internal Medicine The University of Texas Health Science Center at Houston Houston Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyunggun","family":"Kim","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine Department of Internal Medicine The University of Texas Health Science Center at Houston Houston Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,8,11]]},"reference":[{"volume-title":"Carpentier's Reconstructive Valve Surgery","year":"2010","author":"Carpentier A","key":"e_1_2_5_2_1"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2009.01.031"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2004.07.046"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejechocard\/jer042"},{"key":"e_1_2_5_6_1","first-page":"779","article-title":"How do we use imaging to aid considerations for intervention in patients with severe mitral regurgitation?","volume":"2","author":"Martin RP","year":"2013","journal-title":"Ann Cardiothorac Surg"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcmg.2012.10.017"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10439-013-0908-1"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2013.01.014"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8175.2008.00832.x"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8175.2011.01525.x"}],"container-title":["Echocardiography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fecho.12717","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.12717","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T11:00:08Z","timestamp":1696330808000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/echo.12717"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,8,11]]},"references-count":10,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2014,11]]}},"alternative-id":["10.1111\/echo.12717"],"URL":"https:\/\/doi.org\/10.1111\/echo.12717","archive":["Portico"],"relation":{},"ISSN":["0742-2822","1540-8175"],"issn-type":[{"type":"print","value":"0742-2822"},{"type":"electronic","value":"1540-8175"}],"subject":[],"published":{"date-parts":[[2014,8,11]]}}}