Diastolic frames selected from complete cine acquisition in the long axis of the left ventricle and the short axis of the aortic valve acquired before (A and C) and 11 months after PEARS (D and F). The LV is dilated in both studies and the aortic valve is bicuspid with only mild aortic regurgitation and no stenosis. The thickened aortic wall at the site of PEARS can be seen (arrow). The actual mesh support on the personalized former as used in this patient, derived by CAD modeling, is shown above (B) and a depiction of it in position is shown below (E). CAD: computer-aided design; PEARS: personalized external aortic root support; LV: left ventricle.