Bicuspid aortic valve. (A,B,C,D) Transthoracic echocardiography study of a bicuspid aortic valve with no raphe and two symmetrical leaflets in parasternal short-axis (A) and in the apical three-chamber view (B,C,D). Note the presence of mixed valvular disease with central aortic regurgitation on color Doppler (C) and severe aortic stenosis assessed on continuous wave Doppler (D). (E) CT aortogram in the same patient, with valvular morphology redemonstrated on an oblique view.