AUTHOR=Gan Lixi , Chen Oudi , Chen Fanyu , Wang Weiteng , Qing Hongkun , Jian Xuhua TITLE=Case Report: Surgical repair of mitral prolapse caused by papillary muscle elongation using premeasured artificial chordae: a case series JOURNAL=Frontiers in Cardiovascular Medicine VOLUME=Volume 12 - 2025 YEAR=2025 URL=https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2025.1543876 DOI=10.3389/fcvm.2025.1543876 ISSN=2297-055X ABSTRACT=Artificial chordae are increasingly used to repair mitral prolapse. The application of premeasured artificial chordae facilitates the creation of chordae with an appropriate length. Herein, we describe our experience of applying premeasured artificial chordae in 14 cases of mitral prolapse caused by elongated papillary muscles, with an emphasis on the importance of restoring the physiological features of sub-valvular structures during mitral valve repair.