Figure 4. Echocardiogram showing severe aortic stenosis (A). Continuous-wave Doppler in apical five-chamber view showed a peak aortic jet velocity of 4.3 m/sec with the calculated aortic valve area of 0.45 cm2. (B) Color Doppler in apical four-chamber view revealed severe mitral regurgitation. The eccentric regurgitant jet was noted to be selectively directed towards the right pulmonary veins.