Figure 2. (A) Coronary angiogram revealing normal left coronary artery and immobile tilting disc mechanical aortic valve (black arrow). (B) Para-sternal long axis TTE image with broad-based early diastolic aortic insufficiency. (C) Pressure half time (PHT) of 46 milliseconds indicating severe aortic insufficiency. (D) Three chamber TEE image showing severe aortic insufficiency during early diastole.