Early surgical aortic bioprosthesis failure caused by cusp tear: A word of caution

Cusp tear is an increasingly described mode of failure of the Trifecta aortic bioprosthesis. Acute aortic regurgitation after implantation of a Trifecta in absence of endocarditis should suggest a cusp tear and be promptly treated with redo surgery.

Automated summary

Cusp tear is becoming a more commonly reported failure mode of the Trifecta aortic bioprosthesis. In cases where acute aortic regurgitation occurs after Trifecta implantation without endocarditis, it is important to consider a cusp tear and promptly address it through redo surgery.