James S. Gammie et al. JACC 2018;71:25-36

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James S. Gammie et al. JACC 2018;71:25-36 Transthoracic Echocardiography (A to D) Apical 4-chamber view and parasternal long-axis view at baseline and (E to H) at 12 months post-Harpoon mitral valve repair. (A and C) Red arrows indicate severe prolapse of the posterior mitral leaflet. Color Doppler shows an anteriorly-directed wrap-around jet of severe mitral regurgitation (white arrows). (E to G) Yellow arrows show knots of the ePTFE artificial cords implanted close to the edge of the posterior mitral leaflet and proper position of the posterior leaflet. (F and H) No mitral regurgitation is visible at the 1-year follow-up study. AML = anterior mitral leaflet; LA = left atrium; LV = left ventricle; PML = posterior mitral leaflet. James S. Gammie et al. JACC 2018;71:25-36 2018 American College of Cardiology Foundation