Cusp prolapse causing aortic insufficiency is associated with unique echocardiographic, clinical, and surgical features. Recognition and appropriate surgical repair of this pathologic condition can not only treat affected patients but also improve results of aortic valve-sparing procedures, for which pre-existing or induced cusp prolapse is an important cause of failure.
Boodhwani, M., de Kerchove, L., Watremez, C., Glineur, D., Vanoverschelde, J.-L., Noirhomme, P., & El Khoury, G. (2011). Assessment and repair of aortic valve cusp prolapse : Implications for valve-sparing procedures. The Journal of Thoracic and Cardiovascular Surgery, 141(4), 917-925. https://doi.org/10.1016/j.jtcvs.2010.12.006 (Original work published 2011)