Fig. 1

Fig. 1. Systole. TEE shows aortic lumen with separation of intima (white arrowheads) from the adventitia.

Fig. 2

Fig.2. Diastole. Intimal flap prolapses into the left ventricular outflow tract (white arrowheads).

Fig. 3

Fig. 3. Diastole. Color Doppler shows broad band of aliasing in the left ventricular outflow tract (white arrowheads) indicating severe aortic insufficiency.

Echocardiography Laboratory, Department of Cardiology and Cardiovascular Surgery, Hamad Medical Corporation, Doha, Qatar.