PMC8254163_01
(a) Thickened anterior mitral leaflet (yellow arrow), aortic valve leaflets (red arrow), and the aortomitral region and the aortic wall (double arrows); (b) trileaflet aortic valve (arrow) with thickened leaflets but no commissural fusion; (c) mild mitral regurgitation; (d) mild aortic regurgitation
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F1
The aortic valve was trileaflet with thickened leaflets and calcification of right coronary cusp with no commissural fusion and mild aortic regurgitation [Figure 1]. The aortomitral continuity region was also calcified, and the wall of the aortic root was thickened [Figure 1].
(a and b) Markedly thickened tricuspid valve leaflets (yellow arrows) with rolled out edges and noncoaptation; (c) severe tricuspid regurgitation; (d) continuous-wave Doppler confirming that this was low-pressure tricuspid regurgitation
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F2
The tricuspid valve leaflets were thickened and densely fibrosed, with rolled out edges and severe low-pressure tricuspid regurgitation due to non-coaptation of the leaflets [Figure 2].
(a) Thickened pulmonary valve leaflets (arrow); (b and c) moderate pulmonary regurgitation and color Doppler and spectral Doppler, respectively
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F3
Pulmonary valve leaflets were also thickened with moderate pulmonary regurgitation [Figure 3].