Transoesophageal echocardiography image of the pentacuspid aortic valve, short-axis view. Transoesophageal echocardiogram was performed on Phillips IE 33 system (Phillips medicalvsystems, USA) with S7-2t transoesophageal echocardiography transducer. This shows mid-oesophageal short-axis view in diastolic frame at the level of aortic with unequal sized pentacusps. There are three large cusps of equal size (marked yellow) and two relatively small sized cusps (marked blue). There is a central regurgitant orifice in diastole.