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Transesophageal echocardiogram showed severe intravalvular aortic regurgitation (thin arrow) due to an avulsed and prolapsed non-coronary aortic cusp seen here prolapsing into the aortic annulus during systole with the regurgitant jet of intravalvular aortic regurgitation. LA: left atrium. LVOT: left ventricular outflow tract. AVR: aortic valve replacement.
