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Jason H. Rogers et al. JCIN 2015;8:1095-1104 ARTO Case Example (A) Baseline 4-chamber transthoracic echocardiogram (TTE) showing nonischemic dilated left ventricle with leaflet tethering and annular dilation. (B) The 4-chamber TTE color Doppler showing severe functional mitral regurgitation (Nyquist limit 64.0 cm/s). (C) LA and GCV MagneCaths magnetically linked with crossing wire having passed from the GCV into the LA MagneCath (arrow). (D) Final angiographic appearance of the ARTO System after tensioning and suture lock. The GCV anchor (T-Bar) in indicated by the single arrow and the septal anchor by the double arrow. Note patent circumflex coronary artery seen with simultaneous left coronary artery injection. (E) Final 4-chamber TTE image with atrial annular shortening. Suture bridge is indicated by the single arrow and the septal anchor by the double arrow. (F) Final 4-chamber TTE color Doppler showing trace mild functional mitral regurgitation and improved leaflet coaptation (Nyquist limit 61.4 cm/s). Abbreviations as in Figure 1. Jason H. Rogers et al. JCIN 2015;8:1095-1104 2015 American College of Cardiology Foundation