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Figure 2 (A) This preoperative short axis transesophageal echocardiography view of the aortic valve in a 34-year-old patient demonstrates thickening of the aortic root walls (small arrows) and irregular thickening of the three aortic cusp tips (arrowheads). Severe aortic regurgitation with a central jet was demonstrated. (B) This panel demonstrates retracted, rolled noncoronary cusp (ncc) and right coronary cusp (rcc) and irregularly thickened margins of the three aortic cusps (arrowheads). A central regurgitant orifice was confirmed. lcc = left coronary cusp.