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Current strategies to determine the appropriate length of artificial neochordae commonly rely on nonphysiologic saline testing on the arrested heart, with erroneous lengths resulting in residual mitral regurgitation. We present a guide for reproducible and accurate neochordae reconstruction based upon transesophageal echocardiographic measurements, which simplifies mitral repair for most patients with degenerative mitral regurgitation and can be used in conventional or minimally invasive approaches.<\/jats:p>","DOI":"10.1177\/15569845221115186","type":"journal-article","created":{"date-parts":[[2022,8,23]],"date-time":"2022-08-23T10:33:15Z","timestamp":1661250795000},"page":"343-351","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Simplifying Mitral Valve Repair: A Guide to Neochordae Reconstruction"],"prefix":"10.1177","volume":"17","author":[{"given":"Paola Keese","family":"Montanhesi","sequence":"first","affiliation":[{"name":"Division of Cardiac Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2708-1299","authenticated-orcid":false,"given":"Aly","family":"Ghoneim","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Surgery, University of Saskatchewan, Saskatoon, SK, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Gelinas","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael W. 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