Figure 3.

Echocardiographic findings on admission. On admission, massive aortic regurgitation (red arrow in the left upper panel) was noted. The left coronary aortic leaflet almost lost its mobility due to thickening and shortening, creating a significant gap between the other two leaflets (left lower panels), which can be seen as the wide vena contracta in the parasternal long axis view (left upper panel). Severe functional mitral regurgitation (red arrow in the right panel) due to mitral annular dilatation was also noted. L: left coronary aortic leaflet; N: non-coronary aortic leaflet; R: right coronary aortic leaflet