Aortic insufficiency due to ventricular septal defect (Laubry–Pezzi syndrome)

A 15-year-old boy showed progressive aortic valve regurgitation during follow-up of supracristal ventricular septal defect. This anatomic arrangement is consistent with the Laubry-Pezzi syndrome in which prolapse of a non-coronary aortic valve cusp due to Venturi's effect results in progressive aortic valve insufficiency.