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Degenerative mitral regurgitation repair using a measured algorithm could increase the precision and reproducibility of repair outcomes. Direct and echocardiographic measurements guide the repair to achieve a coaptation length of 5 to 10mm and minimize the risk of systolic anterior motion. Leaflet reconstruction restored the normal 2 to 1 ratio of anterior to posterior leaflet length without residual prolapse or restriction. The choice of ring size was based on anterior leaflet length, the distance from the leaflet coaptation point to th

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