Correction of Residual Aortic Cusp Prolapse After Resuspension Repair in a Patient With Aortic Regurgitation

A unique technique of correcting a residual prolapse after repairing the congenitally bicuspid valve has been reported. The patient was a 51-year-old woman with a regurgitant bicuspid aortic valve. She underwent a cusp-sparing aortic root replacement with a cusp resuspension technique. After aortic declamping while the heart was beating, a residual cusp prolapse was corrected by pulling out the resuspension suture along the free margin of the aortic cusp under guidance of transesophageal echocardiography.