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Figure 1. Iatrogenic Aortic Regurgitation Repair Images (A) Transthoracic echocardiography image: parasternal long-axis view. This end-diastole image shows an aortic posterior cusp prolapse (arrow) with complete coaptation defect, responsible for an important aortic regurgitation. (B, C) Cardiac 64-slice multidetector computed tomography images: left ventricle long-axis view (B) and transverse section of the aortic valve (C). The posterior cusp prolapse (arrows) described on echocardiography is confirmed by cardiac computed tomography realized to reassess coronary stenosis. (D) Intraoperative findings during aortic valve replacement and coronary artery bypass grafting. This intraoperative photo shows the laceration of the aortic posterior cusp with an 8-mm tear where the cusp fenestrations (arrow) are found. (E) Operative piece of the aortic valve replaced.We can see millimetric fenestrations on posterior but also on right coronary cusp (RC) (arrows). This photo also shows clearly the posterior cusp tear responsible for the important aortic regurgitation. LC ϭ left coronary cusp; NC ϭ noncoronary or posterior cusp.

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