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Assessment and Repair of Aortic Valve Cusp Prolapse: Implications ...

Assessment and Repair of Aortic Valve Cusp Prolapse: Implications ...

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<strong>Aortic</strong> <strong>Cusp</strong> <strong>Prolapse</strong><br />

• <strong>Cusp</strong> prolapse in trileaflet aortic valves is an<br />

infrequent cause for isolated aortic insufficiency<br />

– Shapiro et al. found an prevalence <strong>of</strong> 1.2% in a crosssectional<br />

review <strong>of</strong> 2000 echocardiograms<br />

• Most patients with isolated cusp prolapse<br />

currently undergo aortic valve replacement:<br />

– Unfamiliarity with diagnosis <strong>and</strong> assessment<br />

– <strong>Repair</strong> techniques<br />

– Lack <strong>of</strong> long-term outcome data

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